Individual
VISHWA NAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
175 ROUTE 130 S, CINNAMINSON, NJ 08077-3376
(856) 536-1640
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00393400
NJ
363A00000X
Physician Assistant
MA058851
PA
Other
Enumeration date
03/28/2016
Last updated
12/16/2023
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