Organization
MARIETA A BAJIT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIETA A BAJIT MD (OWNER)
(757) 853-5280
Entity
Organization
Contact information
Practice address
150 KINGSLEY LANE, DEPAUL MEDICAL CENTER, NORFOLK, VA 23505-4602
(757) 889-5000
(757) 889-4850
Mailing address
2876 GUARDIAN LANE, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15515
SENTARA
VA
01
—
263412
MDIPA / OPTIMA CHOICE / MAMSI
VA
Enumeration date
04/28/2006
Last updated
04/29/2008
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