Organization
LODI INTERNIST GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY THAMMAN MD (PRESIDENT)
(973) 773-3556
Entity
Organization
Contact information
Practice address
361 GARIBALDI AVE, LODI, NJ 07644-3709
(973) 773-3556
Mailing address
361 GARIBALDI AVE, LODI, NJ 07644-3709
(973) 773-3556
(973) 773-2337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
08/07/2006
Last updated
07/13/2010
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