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Organization

JUPITER MEDICAL GROUP P A

Active
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Organization

JUPITER MEDICAL GROUP P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJENDRA K. BANSAL (MD)
(561) 746-2411
Entity
Organization

Contact information

Practice address
601 UNIVERSITY BLVD, SUITE 204, JUPITER, FL 33458-2788
(561) 746-2411
(561) 354-0012
Mailing address
875 MILITARY TRL, SUITE 200, JUPITER, FL 33458-5700
(561) 746-2411
(561) 354-0012

Taxonomy

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

Other

Enumeration date
12/26/2007
Last updated
12/26/2007
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