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Contact Information

NITI BIDJA
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NITI BIDJA · (Female)

NPI # 1235965419
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2024
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # PA101077
Hospital affiliation(s) Not Available
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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