Individual
AJEEB JOHN TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2591 BAGLYOS CIR, SUITE C-50, BETHLEHEM, PA 18020-8027
(484) 821-0203
(484) 821-0214
Mailing address
2591 BAGLYOS CIR, SUITE C-50, BETHLEHEM, PA 18020-8027
(484) 821-0203
(484) 821-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD068349L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00323966
MEDICARE RAILROAD
PA
Enumeration date
06/01/2006
Last updated
09/25/2008
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