Organization
SIDDHIVINAYAK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASIK NAGRECHA (PRESIDENT)
(973) 992-1951
Entity
Organization
Contact information
Practice address
90 BERGEN ST # 1600, NEWARK, NJ 07103-2425
(973) 972-1960
(973) 972-8158
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 992-1951
(973) 992-8190
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8172501
—
NJ
Enumeration date
07/21/2020
Last updated
07/21/2020
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