Individual
BANSARI VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
3 MADISON CT, MONTVILLE, NJ 07045
(973) 747-7795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12716800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/02/2025
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