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Individual

DR. SHAM RUSTOM BAJINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
765 ROUTE 70 EAST, CFG HEALTH SYSTEMS LLC BLDG A SUITE 101, MARLTON, NJ 08053
(856) 983-3900
(856) 810-0169
Mailing address
701 W RED BANK AVENUE, APT K16, WEST DEPTFORD, NJ 08096-4940
(856) 848-2165

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA02829400
NJ
207Q00000X
Family Medicine Physician
MD034586L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4586000
NJ
Enumeration date
07/31/2007
Last updated
07/31/2007
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