Individual
GURDEV BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
24 WILLIAM ELLERY PL, PROVIDENCE, RI 02904-2857
(661) 446-4775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03836
RI
207R00000X
Internal Medicine Physician
Primary
MD17162
RI
Other
Enumeration date
07/25/2016
Last updated
08/10/2020
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