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NPI Code Detail

MEDICARE: DR. PUNEET BAJAJ MD

MEDICARE: DR. PUNEET BAJAJ MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMT195719PA
22080P0201XPediatric Allergy/Immunology PhysicianMD448089PA

General Provider Information

NPI Number : 1770734378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PUNEET BAJAJ MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 190 WELLES ST STE 122
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-4961
Country : US
Telephone Number : 570-718-4140
Fax Number : 570-718-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 08/17/2020

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Directions to “ DR. PUNEET BAJAJ MD” Practice Location

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