Individual
VIJAYA NIMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 NICHOLAS CT, EDISON, NJ 08820-2244
(732) 902-6395
Mailing address
906 OAK TREE AVE STE A, SOUTH PLAINFIELD, NJ 07080-5127
(732) 902-6395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07473400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003603
—
NJ
Enumeration date
09/25/2006
Last updated
06/10/2013
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