Individual
MR. VIJAY R DANDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
119 OCEAN AVE, JERSEY CITY, NJ 07305-2500
(201) 432-6968
(201) 432-7004
Mailing address
119 OCEAN AVE, JERSEY CITY, NJ 07305-2500
(201) 432-6968
(201) 432-7004
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
28RI02207600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9092501
—
NJ
Enumeration date
11/30/2011
Last updated
09/17/2017
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