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Individual

ANJANA KHUNTIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
470 SENTRY PKWY E, SUITE 200, BLUE BELL, PA 19422-2324
(610) 825-5800
(610) 397-0980
Mailing address
470 SENTRY PKWY E, SUITE 200, BLUE BELL, PA 19422-2324
(610) 825-5800
(610) 397-0980

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD435625
PA
2080P0201X
Pediatric Allergy/Immunology Physician
036114217
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036114217
IL
Enumeration date
01/11/2007
Last updated
03/03/2010
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