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Individual

DR. VIDYA SHAILESH VAKIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
666 PLAINSBORO RD STE 1H BLDG 100, PLAINSBORO, NJ 08536-3003
(609) 275-0729
(609) 275-3875
Mailing address
87 CONOVER RD, WEST WINDSOR, NJ 08550-3228
(609) 275-0729
(609) 275-3875

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA041256
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12-020
NJ
Enumeration date
08/31/2006
Last updated
07/08/2007
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