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1073251302
REJVI SHAJU
FLUSHING, NY
NPI
1073251302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 027690)
Enumeration Date
2022-05-25
Last Update Date
2022-05-26
Business Address
REJVI SHAJU PA-C
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-1426
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Mailing Address
REJVI SHAJU PA-C
8527 104TH ST
RICHMOND HILL, NY 11418-1124
Phone number:
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