Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 258165 | NY |
Y | 2081P2900X | Pain Medicine | 25MA08207900 | NJ |
NPI | 1093786212 |
---|---|
Provider Name | Dr. Shailendra Hajela |
First Address | Belleville, NJ 07109-1123 |
Second Address | Belleville, NJ 07109-1123 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31751 | (02) |