Provider Demographics
NPI:1285789651
Name:HAJAR, MARILYN ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:ANNE
Last Name:HAJAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3550 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1089
Mailing Address - Country:US
Mailing Address - Phone:800-258-4448
Mailing Address - Fax:413-739-5812
Practice Address - Street 1:3550 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1089
Practice Address - Country:US
Practice Address - Phone:800-258-4448
Practice Address - Fax:413-739-5812
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2015-04-12
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Provider Licenses
StateLicense IDTaxonomies
NY163110207VG0400X
MA151889207VG0400X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine