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NPI Code Detail

MEDICARE: JEFFREY WAJDA DO

MEDICARE:   JEFFREY  WAJDA  DO
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
1207P00000XEmergency Medicine Physician13235CA

General Provider Information

NPI Number : 1639127954
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY WAJDA DO
Provider Business Mailing Address
First Line : 2300 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2202
Country : US
Telephone Number : 916-734-1166
Fax Number :
Provider Business Practice Location Address
First Line : 2300 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2202
Country : US
Telephone Number : 916-734-1166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/17/2016

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