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1326683186
PAVANKUMAR RAJA
WALDORF, MD
NPI
1326683186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 27793)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
PAVANKUMAR RAJA DPT
3165 CRAIN HWY STE 100
WALDORF, MD 20603-4847
Phone number: 301-885-2500
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Mailing Address
PAVANKUMAR RAJA DPT
PO BOX 419666
BOSTON, MA 02241-9666
Phone number: 410-970-8190
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