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Organization

JUPITER INTERNAL MEDICINE GROUP LLC

Active
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Organization

JUPITER INTERNAL MEDICINE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJ BANSAL MD (PRESIDENT)
(561) 747-5066
Entity
Organization

Contact information

Practice address
601 UNIVERSITY BLVD, SUITE 204, JUPITER, FL 33458-2788
(561) 747-5066
(561) 747-5190
Mailing address
601 UNIVERSITY BLVD, SUITE 204, JUPITER, FL 33458-2788
(561) 747-5066
(561) 747-5190

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME49954
FL

Other

Enumeration date
12/11/2006
Last updated
01/19/2010
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