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NPI Code Detail

MEDICARE: BJA INC

MEDICARE: BJA INC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1326276593
Entity Type Code : Organization
Provider Name (Legal Business Name) : BJA INC
Provider Business Mailing Address
First Line : 200 CORPORATE PL
Second Line : SUITE 5B
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-536-7400
Fax Number :
Provider Business Practice Location Address
First Line : 3540 N PINE ISLAND RD
Second Line : SUITE 101
City : SUNRISE
State : FL
Zip : 33351-6637
Country : US
Telephone Number : 978-536-7400
Fax Number :
Authorized Official
Title or Position : EVP-CFO
Name : CARL IBERGER
Credential :
Telephone Number : 978-536-7400
Provider Enumeration Date : 06/26/2009
Last Update Date : 10/15/2009

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Directions to “BJA INC ” Practice Location

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