Individual
MS. EWA BEATA BAJOR-DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(866) 689-8872
Mailing address
PO BOX 66689, FALMOUTH, ME 04105-6689
(866) 689-8872
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09360400
NJ
208VP0000X
Pain Medicine Physician
252387-1
NY
Other
Enumeration date
06/20/2007
Last updated
11/27/2013
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