Provider Demographics
NPI:1801867726
Name:EL-HAJJ, RITA JIRJIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:JIRJIS
Last Name:EL-HAJJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 E LANCASTER AVE STE 560
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-649-1922
Mailing Address - Fax:610-649-2121
Practice Address - Street 1:100 E LANCASTER AVE STE 560
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096
Practice Address - Country:US
Practice Address - Phone:610-649-1922
Practice Address - Fax:610-649-2121
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD061469L207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
E49959Medicare UPIN
PA895451HK1Medicare PIN
E49959Medicare UPIN