Individual
MR. AJIT VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, FOUNDERS 216, BOSTON, MA 02114-2621
(617) 643-3726
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(832) 721-9886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
262146
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2009
Last updated
06/07/2016
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