Individual
ANITA RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
510 NORTH ST STE 7, PITTSFIELD, MA 01201-4127
(413) 447-2300
Mailing address
52 FIFER LN, LEXINGTON, MA 02420-1225
(978) 413-0358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6615
MA
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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