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Individual

VIVEK KUMAR MOITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9876
(914) 709-8165

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
236334-1
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
236334
NY

Other

Enumeration date
09/20/2006
Last updated
07/28/2014
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