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Individual
TARUN BAVEJA
Active
Individual
TARUN BAVEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264099
MA
208M00000X
Hospitalist Physician
Primary
264099
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264099
MASS LICENSE
MA
Enumeration date
07/17/2012
Last updated
04/23/2019
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