Individual
DR. RENJU S RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3450
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-3450
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
042-0012086
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-0012086
VERMONT DEPARTMENT OF HEALTH
VT
Enumeration date
04/18/2008
Last updated
10/28/2013
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