Provider Demographics
NPI:1548213259
Name:LAJAM, CLAUDETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDETTE
Middle Name:
Last Name:LAJAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9785 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3319
Mailing Address - Country:US
Mailing Address - Phone:718-544-1543
Mailing Address - Fax:718-544-1742
Practice Address - Street 1:9785 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3319
Practice Address - Country:US
Practice Address - Phone:718-544-1543
Practice Address - Fax:718-544-1742
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232456207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY653G31OtherBLUE CROSS
NY02674275Medicaid
NY653G31OtherBLUE CROSS
NY663F51Medicare ID - Type Unspecified
NY06589MMedicare ID - Type UnspecifiedGHI MEDICARE