Individual
DR. VIKAS S. BAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1060 BROAD ST, LOWER LEVEL MEDICAL OFFICE, NEWARK, NJ 07102-2397
(973) 642-6500
(973) 741-2700
Mailing address
12 SHERWOOD LN, COLUMBUS, NJ 08022-2248
(973) 906-3344
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00260200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8560005
—
NJ
Enumeration date
11/07/2006
Last updated
09/04/2008
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