Individual
MRS. INDU N VIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 EVERGREEN PLACE, SUITE 400, EAST ORANGE, NJ 07018
(973) 395-1550
(973) 395-1556
Mailing address
751 S MIDDLESEX AVE, COLONIA, NJ 07067-3718
(732) 499-9835
(973) 374-9580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03992300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0780804
—
NJ
Enumeration date
05/22/2006
Last updated
07/27/2020
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