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Individual
DR. VIVEK LAXMAN BAGADE
Active
Individual
DR. VIVEK LAXMAN BAGADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06029400
NJ
207R00000X
Internal Medicine Physician
38451 - 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7080000
—
NJ
Enumeration date
02/17/2008
Last updated
04/21/2017
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