Individual
DR. JOHN SAMUEL BANERJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, M.CH
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
3273 SILVER RIDGE CT, HERMITAGE, PA 16148-6083
(206) 582-8834
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
FE60520498
WA
208800000X
Urology Physician
Primary
MD457337
PA
Other
Enumeration date
01/13/2015
Last updated
11/03/2018
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