1639165517 NPI number — FRANCESCA M BAJAJ MD

Table of content: FRANCESCA M BAJAJ MD (NPI 1639165517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639165517 NPI number — FRANCESCA M BAJAJ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAJAJ
Provider First Name:
FRANCESCA
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639165517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2207 BOSTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILBRAHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01095-1155
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-599-1201
Provider Business Mailing Address Fax Number:
413-596-2940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2207 BOSTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILBRAHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01095-1155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-599-1201
Provider Business Practice Location Address Fax Number:
413-596-2940
Provider Enumeration Date:
09/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080A0000X , with the licence number:  212551 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 970761 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 212551 . This is a "MA LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000026403 . This is a "BOSTON MED CENTER HLTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 212551 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2026201 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 212551 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3342806 . This is a "AETNA/USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 010212551MA01 . This is a "ANTHEM BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33017 . This is a "HEALTH NEW ENGLAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51090 . This is a "CHILDREN MEDICAL SEC PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: J26639 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com