Provider Demographics
NPI:1992947741
Name:GARG, AJAY PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:PAUL
Last Name:GARG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8327 TULPEHOCKEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1943
Mailing Address - Country:US
Mailing Address - Phone:215-264-0730
Mailing Address - Fax:215-366-2899
Practice Address - Street 1:8327 TULPEHOCKEN AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1943
Practice Address - Country:US
Practice Address - Phone:215-264-0730
Practice Address - Fax:215-366-2899
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2013-03-11
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Provider Licenses
StateLicense IDTaxonomies
PAMD051644L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF73955Medicare UPIN