Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | MD448089 | PA |
NPI | 1770734378 |
---|---|
Provider Name | Dr. Puneet Bajaj |
First Address | Danville, PA 17822-4903 |
Second Address | Forty Fort, PA 18704-4961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 17/08/2020 |