Organization
VIJI WELLNESS SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAMANICKAM NATARAJAN MD (PHYSICIAN)
(570) 574-9736
Entity
Organization
Contact information
Practice address
407 LARCHMONT WAY, MOUNTAIN TOP, PA 18707-2050
(570) 574-9736
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD070171L
PA
208600000X
Surgery Physician
MD070171L
PA
Other
Enumeration date
03/30/2009
Last updated
03/04/2016
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