Healthcare Provider Details

I. General information

NPI: 1962271452
Provider Name (Legal Business Name): SALUJA MEDICAL ASSOCIATES 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6821 REISTERSTOWN RD
BALTIMORE MD
21215-1431
US

IV. Provider business mailing address

6821 REISTERSTOWN RD
BALTIMORE MD
21215-1431
US

V. Phone/Fax

Practice location:
  • Phone: 410-358-6450
  • Fax:
Mailing address:
  • Phone: 410-358-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DALJEET SALUJA
Title or Position: CEO
Credential:
Phone: 410-358-6450