Individual
VIJAY RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
755 MEMORIAL PKWY STE 105, PHILLIPSBURG, NJ 08865-2774
(484) 526-2200
(484) 526-2220
Mailing address
185 ROSEBERRY ST, FARLEY BLDG., 2ND FLOOR, PHILLIPSBURG, NJ 08865-2773
(908) 847-2621
(908) 847-3045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA75454
NJ
174400000X
Specialist
MD418637
PA
208600000X
Surgery Physician
MD418637
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019089
—
NJ
Enumeration date
07/17/2006
Last updated
02/08/2019
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