Individual
VIJAY HIREMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, GROUND FLOOR, PATERSON, NJ 07503-2621
(973) 754-2645
Mailing address
PO BOX 3607, EVANSVILLE, IN 47735-3607
(800) 467-2392
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04330300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3921000
—
NJ
Enumeration date
09/30/2005
Last updated
08/07/2012
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