Individual
MAHENDRA M PUJARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 MOUNT HOPE AVE, POTTSVILLE, PA 17901-1337
(570) 622-1553
(570) 622-3531
Mailing address
1630 MOUNT HOPE AVE, POTTSVILLE, PA 17901-1337
(570) 622-1553
(570) 622-3531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD037780L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000831495001
—
PA
Enumeration date
01/24/2006
Last updated
07/08/2007
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