Organization
PSYCHIATRIC CONSULTATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHULAM MURTAZA BAJWA MD (CEO)
(973) 224-5509
Entity
Organization
Contact information
Practice address
122 PLANE ST, 1A, BOONTON, NJ 07005-1760
(973) 224-5509
Mailing address
122 PLANE ST, 1A, BOONTON, NJ 07005-1760
(973) 224-5509
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA09089100
NJ
Other
Enumeration date
12/19/2013
Last updated
01/17/2014
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