Individual
AHMAD RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS023137
PA
Other
Enumeration date
06/10/2020
Last updated
05/10/2024
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