Individual
VAISHALI A PUROHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
257 LAFAYETTE AVE STE 200, SUFFERN, NY 10901-4837
(732) 741-0970
(732) 747-2606
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 426-3420
(732) 747-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA12046500
NJ
208600000X
Surgery Physician
Primary
327174
NY
208600000X
Surgery Physician
MD465038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15684917
CAQH
—
Enumeration date
05/25/2016
Last updated
03/29/2024
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