Provider Demographics
NPI:1275700825
Name:AUJLA, JATINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:JATINDER
Middle Name:
Last Name:AUJLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1163
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-1163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:844-252-2008
Practice Address - Street 1:150 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3800
Practice Address - Country:US
Practice Address - Phone:603-580-9445
Practice Address - Fax:844-252-2008
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08414200207R00000X
NH18094207R00000X
MA253698207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110094889AMedicaid
MA19277000008OtherRR MEDICARE
NJ0170933Medicaid