Healthcare Provider Details

I. General information

NPI: 1639165517
Provider Name (Legal Business Name): FRANCESCA M BAJAJ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 BOSTON RD
WILBRAHAM MA
01095-1155
US

IV. Provider business mailing address

2207 BOSTON RD
WILBRAHAM MA
01095-1155
US

V. Phone/Fax

Practice location:
  • Phone: 413-599-1201
  • Fax: 413-596-2940
Mailing address:
  • Phone: 413-599-1201
  • Fax: 413-596-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number212551
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier970761
Identifier TypeOTHER
Identifier State
Identifier IssuerNETWORK HEALTH
# 2
Identifier212551
Identifier TypeOTHER
Identifier State
Identifier IssuerMA LICENSE
# 3
Identifier000000026403
Identifier TypeOTHER
Identifier State
Identifier IssuerBOSTON MED CENTER HLTHNET
# 4
Identifier212551
Identifier TypeOTHER
Identifier State
Identifier IssuerTUFTS
# 5
Identifier2026201
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 6
Identifier212551
Identifier TypeOTHER
Identifier State
Identifier IssuerCONNECTICARE
# 7
Identifier3342806
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA/USHC
# 8
Identifier010212551MA01
Identifier TypeOTHER
Identifier State
Identifier IssuerANTHEM BCBS
# 9
Identifier33017
Identifier TypeOTHER
Identifier State
Identifier IssuerHEALTH NEW ENGLAND
# 10
Identifier51090
Identifier TypeOTHER
Identifier State
Identifier IssuerCHILDREN MEDICAL SEC PLAN
# 11
IdentifierJ26639
Identifier TypeOTHER
Identifier State
Identifier IssuerBCBS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: