Doctor Name: | DR. SANJIV S AGARWALA |
NPI Number: | 1275505612 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD052173L |
Business Practice Address: | 801 Ostrum Street Bethlehem, PA - 180151000 |
Business Phone Number: | 4845262140 |
Business Fax Number: | 4845266055 |
Mailing Address: | 801 Ostrum Street, BETHLEHEM |
State: | PA |
Postal Code: | 180151000 |
Phone Number: | 4845262140 |
Fax Number: | 4845266055 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 09/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD052173L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |