Individual
DR. ANJALI VISWANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 BALTIMORE AVE, ROSELLE, NJ 07203-2309
(908) 245-3446
(908) 245-5868
Mailing address
815 BALTIMORE AVE, ROSELLE, NJ 07203-2309
(908) 245-3446
(908) 245-5868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08394300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163694
—
NJ
Enumeration date
02/10/2006
Last updated
07/24/2008
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