person
Moni Banerjee, PA
Medical Physician Assistant in Boulder, Colorado
NPI 1164551727

Moni Banerjee is a Medical Physician Assistant based in Boulder, CO and is specialized in Medical. Moni Banerjee practices in Boulder, CO and has the professional credentials of PA. The NPI Number for Moni Banerjee is 1164551727 and holds a License No. 2169 (Colorado).

The current practice location address for Moni Banerjee is 4743 Arapahoe Ave, Boulder, CO and can be reached out via phone at 303-442-2395 and via fax at 303-442-1073.

Location: 4743 Arapahoe Ave, Boulder, CO, 80301-2709
person
Provider Profile Details
NPI Number
1164551727
Provider Name
Moni Banerjee
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4743 Arapahoe Ave, Boulder, CO, 80301-2709
Phone Number
303-442-2395
Fax Number
303-442-1073
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34388800 05 CO
institution
Provider Business Practice Location Address Details
Address
4743 Arapahoe Ave
City
State
Zip
80303-1113
Phone Number
303-442-2395
Fax Number
303-442-1073
person
Provider Business Mailing Address Details
Address
4743 Arapahoe Ave
City
State
Zip
80303-1113
Phone Number
303-442-2395
Fax Number
303-442-1073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2169 (Colorado)
Definition
Definition to come...
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