Individual
DR. VIJAY GOPAL MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S FRONT ST # 8, HARRISBURG, PA 17104-1619
(717) 231-8700
Mailing address
205 S FRONT ST # 8, HARRISBURG, PA 17104-1619
(717) 231-8700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD472471
PA
208600000X
Surgery Physician
TMD005182
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/03/2013
Last updated
12/07/2020
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