Individual
NISHANT VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-6414
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09932600
NJ
Other
Enumeration date
07/24/2014
Last updated
04/10/2019
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