Provider Demographics
NPI:1407836083
Name:MOOKERJEE, BIJOYESH (MD)
Entity Type:Individual
Prefix:DR
First Name:BIJOYESH
Middle Name:
Last Name:MOOKERJEE
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 1:925 CHESTNUT ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4216
Mailing Address - Country:US
Mailing Address - Phone:302-498-7067
Mailing Address - Fax:302-425-2766
Practice Address - Street 1:925 CHESTNUT ST
Practice Address - Street 2:SUITE 420
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4216
Practice Address - Country:US
Practice Address - Phone:302-498-7067
Practice Address - Fax:302-425-2766
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417916207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG46077Medicare UPIN