Provider Demographics
NPI:1689683856
Name:HAJJAR, GEORGE CHARLES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHARLES
Last Name:HAJJAR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4850 FORBES BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4318
Mailing Address - Country:US
Mailing Address - Phone:301-459-5667
Mailing Address - Fax:301-459-7059
Practice Address - Street 1:4850 FORBES BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4318
Practice Address - Country:US
Practice Address - Phone:301-459-5667
Practice Address - Fax:301-459-7059
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD39550207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD557191000Medicaid
MD557191000Medicaid
E40803Medicare UPIN