Individual
RISHI BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 ROUTE 59, SUFFERN, NY 10901-4913
(781) 530-0070
Mailing address
76 FAIRWAYS DR, MIDDLETOWN, NY 10940-2666
(781) 530-0070
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
290772
NY
207RI0011X
Interventional Cardiology Physician
Primary
290772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04863241
—
NY
Enumeration date
04/23/2008
Last updated
06/13/2023
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