Dr. Renju S Raj
Obstetrician
111 Colchester Ave
Burlington
, Vermont 05401-1473
Dr. Renju S Raj
Obstetrician
111 Colchester Ave
Burlington
, Vermont 05401-1473
(802) 847-3450
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Renju S Raj
- 111 Colchester Ave
- Burlington, VT
- Zip : 05401-1473
- Phone : (802) 847-3450
Second Address
- Dr. Renju S Raj
- 111 Colchester Ave
- Burlington, VT
- Zip : 05401-1473
- Phone : (802) 847-3450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 042-0012086 | VT |
National Provider Identifier
| NPI | 1174797260 |
|---|---|
| Provider Name | Dr. Renju S Raj |
| First Address | Burlington, VT 05401-1473 |
| Second Address | Burlington, VT 05401-1473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2008 |
| Last Update Date | 28/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 042-0012086 | VERMONT DEPARTMENT OF HEALTH (01) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.