Individual
DR. THURAIRASAH VIJAYANATHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6416 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1621
(201) 295-1099
(201) 295-1035
Mailing address
6416 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1621
(201) 295-1099
(201) 295-1035
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA26891
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293001
—
NJ
Enumeration date
02/07/2006
Last updated
03/07/2023
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