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Contact Information

WAJIH AKSAMAWATI DIT ARJA, MD
206 CORNELIA ST STE 307
CVPH MEDICAL CENTER - PULMONARY CLINIC
PLATTSBURGH, NY12901-2779
 Phone: 518-562-7705
 Fax: 518-562-7706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WAJIH AKSAMAWATI DIT ARJA · (Male)

NPI # 1962718551
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2010
Last updated 03/15/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 275140
  • NY Medicaid 03921666
Hospital affiliation(s)
  • ADIRONDACK MEDICAL CENTER - (Acute Care)
    2233 STATE ROUTE 86
    SARANAC LAKE, NY 12983
  • ALICE HYDE MEDICAL CENTER - (Acute Care)
    133 PARK STREET
    MALONE, NY 12953
  • CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR - (Acute Care)
    75 BEEKMAN STREET
    PLATTSBURGH, NY 12901
  • ELIZABETHTOWN COMMUNITY HOSPITAL - (Critical Access)
    75 PARK STREET
    ELIZABETHTOWN, NY 12932
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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