Provider Demographics
NPI:1447280110
Name:HAJJAR, RAYMOND T JR (DO)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:T
Last Name:HAJJAR
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:31100 TELEGRAPH RD
Mailing Address - Street 2:STE 280
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4363
Mailing Address - Country:US
Mailing Address - Phone:248-208-8844
Mailing Address - Fax:248-208-1750
Practice Address - Street 1:31100 TELEGRAPH RD
Practice Address - Street 2:STE 280
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-4363
Practice Address - Country:US
Practice Address - Phone:248-208-8844
Practice Address - Fax:248-208-1750
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2018-12-10
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Provider Licenses
StateLicense IDTaxonomies
MI5101010632208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3171235 11Medicaid
MIOM13940Medicare ID - Type Unspecified
MI3171235 11Medicaid