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Individual

JUNAID BAQAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MEMORIAL MEDICAL CTR, 701 NORTH FIRST STREET, SPRINGFIELD, IL 62781-0001
(732) 439-1968
Mailing address
MEMORIAL MEDICAL CTR, 701 NORTH FIRST STREET, SPRINGFIELD, IL 62781-0001
(732) 439-1968

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036135239
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036135239-1
IL
Enumeration date
04/18/2008
Last updated
06/29/2016
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