Organization
VIJAY K MALHOTRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY K MALHOTRA M.D (PRESIDENT)
(814) 535-2321
Entity
Organization
Contact information
Practice address
78 FAIRFIELD AVE, JOHNSTOWN, PA 15906-2308
(814) 535-2321
Mailing address
78 FAIRFIELD AVE, JOHNSTOWN, PA 15906-2308
(814) 535-2321
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD037404L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005988450002
—
PA
Enumeration date
05/06/2013
Last updated
05/06/2013
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