Individual
VIMALA BENNY GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1777 LAWRENCE ST, RAHWAY, NJ 07065-5111
(732) 499-7927
(732) 396-1298
Mailing address
715 SANDOR CT, PARAMUS, NJ 07652-4028
(201) 634-8733
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00006200
NJ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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