Individual
MR. VIVEK AGNIHOTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APNC, CIC, CCRN
Contact information
Practice address
25 POCONO RD, DEPARTMENT OF ANESTHESIA, DENVILLE, NJ 07834-2954
(973) 625-6602
Mailing address
45 DANIEL ST, DOVER, NJ 07801-2053
(973) 625-6602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00009500
NJ
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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