Individual
VAISHALI C. MOGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SECOND STREET, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Mailing address
101 SECOND STREET, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 901-0277
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA08796700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294764
—
NJ
Enumeration date
06/17/2006
Last updated
10/15/2012
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