Provider Demographics
NPI:1629204771
Name:JALAJ, SUJAI (MD)
Entity type:Individual
Prefix:DR
First Name:SUJAI
Middle Name:
Last Name:JALAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 BETHEL RD
Mailing Address - Street 2:STE E
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2172
Mailing Address - Country:US
Mailing Address - Phone:609-926-3330
Mailing Address - Fax:609-365-8726
Practice Address - Street 1:408 BETHEL RD
Practice Address - Street 2:STE E
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2172
Practice Address - Country:US
Practice Address - Phone:609-926-3330
Practice Address - Fax:609-365-8726
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241335207R00000X
FLTRN17459207RG0100X
NJ25MA09901400207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine