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Individual

DR. RAJ KUMAR MAHAJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42 MONTCALM ST, OSWEGO, NY 13126
(315) 343-2590
(315) 343-4197
Mailing address
42 MONTCALM STREET, OSWEGO, NY 13126
(315) 343-2590
(315) 343-4197

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
190331-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
190331-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160025
NY
Enumeration date
06/13/2006
Last updated
01/14/2011
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