Individual
DR. SANJIV S AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OSTRUM STREET, BETHLEHEM, PA 18015-1000
(484) 526-2140
(484) 526-6055
Mailing address
801 OSTRUM STREET, BETHLEHEM, PA 18015-1000
(484) 526-2140
(484) 526-6055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD051748L
PA
174400000X
Specialist
MD052173L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001467202
—
PA
Enumeration date
02/01/2006
Last updated
09/20/2011
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