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Individual

DR. VISHAL BAHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO, FASE, FACC, RPVI

Contact information

Practice address
4 BURTON LN, SUITE 100, MULLICA HILL, NJ 08062-9422
(856) 241-3838
(856) 241-3849
Mailing address
4 BURTON LN, SUITE 100, MULLICA HILL, NJ 08062-9422
(856) 241-3838
(856) 241-3849

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MB06965800
NJ
207RC0000X
Cardiovascular Disease Physician
OS008639L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0021458
NJ
Enumeration date
07/07/2006
Last updated
01/17/2024
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