Individual
DR. PANKAJ HARIBHAI AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5615 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1836
(856) 488-1415
(856) 488-1416
Mailing address
5615 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1836
(856) 488-1415
(856) 488-1416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA036575
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6889204
—
NJ
Enumeration date
06/02/2008
Last updated
06/02/2008
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