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Organization
PRITI BHARDWAJ MD PC
Active
Organization
PRITI BHARDWAJ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRITI BHARDWAJ MD (OFFICE MANAGER)
(313) 388-1666
Entity
Organization
Contact information
Practice address
25420 GODDARD RD, TAYLOR, MI 48180-6200
(313) 299-8006
(313) 299-8009
Mailing address
25420 GODDARD RD, TAYLOR, MI 48180-6200
(313) 299-8006
(313) 299-8009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104332410
—
MI
Enumeration date
01/26/2007
Last updated
10/04/2011
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