Individual
RAHUL VASUDEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3880
(551) 996-0949
Mailing address
200 HOSPITAL PLZ, APT 106, PATERSON, NJ 07503-3072
(973) 413-4387
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA10580400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2014
Last updated
06/01/2021
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