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NPI Code Detail

MEDICARE: DR. GENC HAJRA M.D

MEDICARE:  DR. GENC  HAJRA  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianMD458829PA
2207R00000XInternal Medicine PhysicianMD458829PA
3207R00000XInternal Medicine PhysicianMT205133PA

General Provider Information

NPI Number : 1205275104
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GENC HAJRA M.D
Provider Business Mailing Address
First Line : 1413 STIRLING ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19149-2754
Country : US
Telephone Number : 267-679-9658
Fax Number :
Provider Business Practice Location Address
First Line : 245 N 15TH ST
Second Line : MAIL STOP 427
City : PHILADELPHIA
State : PA
Zip : 19102-1101
Country : US
Telephone Number : 215-762-7698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 01/16/2026

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Directions to “ DR. GENC HAJRA M.D” Practice Location

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