Individual
DR. PURUJIT THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
2733 HOLLOW VIEW DR, EASTON, PA 18040-7567
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD461280
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD461280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103268176
—
PA
Enumeration date
07/01/2014
Last updated
07/24/2024
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