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General NPI Number Information
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NPI Number | 1376221499
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Entity Type | Individual
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Provider Name | POOJA GAJJAR
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 351 W BEAU ST STE 301
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City | WASHINGTON
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State | PA
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Zip | 15301-4663
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Country | US
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Telephone | 724-228-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 5607 SPRING RIDGE DR W
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City | MACUNGIE
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State | PA
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Zip | 18062-9570
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Country | US
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Telephone | 954-644-2159
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS044769
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License Number State | PA
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