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Organization
VINELAND MEDICAL ASSOCIATES PA
Active
Organization
VINELAND MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARASIMHALOO VENUGOPAL M.D. (PRESIDENT)
(856) 696-0108
Entity
Organization
Contact information
Practice address
1100 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 696-0108
(856) 691-1106
Mailing address
1100 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 696-0108
(856) 691-1106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06727800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8193100
—
NJ
Enumeration date
06/27/2005
Last updated
08/22/2020
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