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NPI Code Detail

MEDICARE: MISS KAITLYN HAJJAR PA-C

MEDICARE: MISS KAITLYN HAJJAR PA-C
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
1363A00000XPhysician AssistantPA9120319FL
2363A00000XPhysician AssistantPA5360MA

General Provider Information

NPI Number : 1609263920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KAITLYN HAJJAR PA-C
Provider Business Mailing Address
First Line : 123 BROOK BEND RD
Second Line :
City : HANOVER
State : MA
Zip : 02339-2301
Country : US
Telephone Number : 781-635-3108
Fax Number :
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7969
Country : US
Telephone Number : 561-737-7733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2015
Last Update Date : 01/20/2026

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Directions to “ MISS KAITLYN HAJJAR PA-C” Practice Location

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