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Individual

EDNAN K BAJWA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-1721
Mailing address
9 HAWTHORNE PL, APARTMENT NO. 11-K, BOSTON, MA 02114-2344
(617) 726-1721

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
216205
MA

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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