Healthcare Provider Details

I. General information

NPI: 1679763288
Provider Name (Legal Business Name): RAYMOND T. HAJJAR, D.O. AND CHRISTOPHER LUMLEY, D.O., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31100 TELEGRAPH RD STE 280
BINGHAM FARMS MI
48025-4363
US

IV. Provider business mailing address

31100 TELEGRAPH RD STE 280
BINGHAM FARMS MI
48025-4363
US

V. Phone/Fax

Practice location:
  • Phone: 248-208-8844
  • Fax: 248-208-1750
Mailing address:
  • Phone: 248-208-8844
  • Fax: 248-208-1750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number5101010632
License Number StateMI

VIII. Authorized Official

Name: RAYMOND T. HAJJAR JR.
Title or Position: OWNER
Credential: D.O.
Phone: 248-208-8844