Individual
NITI BIDJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
PA101077
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
10/09/2024
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