Provider Demographics
NPI:1124590914
Name:BAJKO, STEPHEN DONALD (PA-C)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DONALD
Last Name:BAJKO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:
Practice Address - Street 1:35 STOREY AVE
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-1878
Practice Address - Country:US
Practice Address - Phone:978-225-6607
Practice Address - Fax:978-225-6609
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2023-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA7361363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant