Individual
ASHA M VIJAYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
152 CENTRAL AVE, CLARK, NJ 07066-1115
(732) 382-9700
(732) 382-9707
Mailing address
35 AVENUE I, MONROE, NJ 08831
(908) 477-7011
(888) 808-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07882600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121924
—
NJ
Enumeration date
11/06/2006
Last updated
11/02/2015
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