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NPI Code Detail

MEDICARE: SUNITA HAJARE M.D.

MEDICARE: SUNITA HAJARE M.D.
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
1208000000XPediatrics Physician152614MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659396562
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUNITA HAJARE M.D.
Provider Business Mailing Address
First Line : 176 WEST ST
Second Line :
City : MILFORD
State : MA
Zip : 01757-2236
Country : US
Telephone Number : 508-634-5050
Fax Number : 508-634-9621
Provider Business Practice Location Address
First Line : 176 WEST ST
Second Line :
City : MILFORD
State : MA
Zip : 01757-2236
Country : US
Telephone Number : 508-634-5050
Fax Number : 508-634-9621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/26/2016

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