Organization
MOHAMMAD AYUB BAJWA M.D., P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AYUB BAJWA M.D. (DR.)
(973) 429-0601
Entity
Organization
Contact information
Practice address
14 WASHINGTON ST, BLOOMFIELD, NJ 07003
(973) 429-0601
Mailing address
14 WASHINGTON ST, BLOOMFIELD, NJ 07003
(973) 429-0601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03281800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2964406
—
NJ
01
—
460356
MEDICARE
—
Enumeration date
12/06/2010
Last updated
12/06/2010
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