Individual provider · Type 1 NPI

Moni Banerjee, PA

Medical Physician Assistant · Boulder, CO

NPI number 1164551727 Active

Practice location

4743 Arapahoe Ave, Suite 201
Boulder, CO 80303-1113

Call (303) 442-2395 Map

Fax (303) 442-1073

Mailing address

5450 Western Ave, Suite B
Boulder, CO 80301-2709

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2169 (CO)

Medical Physician Assistant: Definition to come...

26 other providers at this address

Other medical physician assistant providers in Boulder

See all in Boulder →

About NPI 1164551727

Moni Banerjee, PA's National Provider Identifier is 1164551727, issued on Mar 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boulder, CO. The record was last updated on Nov 9, 2017.