Individual
BRAJESH KUMAR LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST # N4W66, BALTIMORE, MD 21201-1544
(410) 328-5840
Mailing address
22 S GREENE ST # N4W66, BALTIMORE, MD 21201-1544
(410) 328-5840
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
25MA07028800
NJ
2086S0129X
Vascular Surgery Physician
Primary
D0069418
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8800707
—
NJ
Enumeration date
07/05/2006
Last updated
09/08/2009
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