Individual
VIVEK K. VADEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06798300
NJ
208M00000X
Hospitalist Physician
Primary
14785
ND
208M00000X
Hospitalist Physician
PT14785
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7953402
—
NJ
Enumeration date
10/12/2006
Last updated
11/28/2017
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