Organization
VIP PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL VEMULA MD (OWNER, CEO)
(732) 963-0809
Entity
Organization
Contact information
Practice address
107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
(732) 963-0809
(732) 963-0814
Mailing address
107 MONMOUTH RD STE 201, WEST LONG BRANCH, NJ 07764-1021
(732) 963-0809
(732) 963-0814
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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