Provider Demographics
NPI:1609163674
Name:RAJU, BIJU (DO)
Entity Type:Individual
Prefix:DR
First Name:BIJU
Middle Name:
Last Name:RAJU
Suffix:
Gender:M
Credentials:DO
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 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:973-656-6280
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:1395 STATE RT 23
Practice Address - Street 2:SUITE 4
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1732
Practice Address - Country:US
Practice Address - Phone:973-838-0200
Practice Address - Fax:973-838-1614
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09388100207Q00000X, 207Q00000X
NY269149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine