Individual
KAUSHAL CHANDRESH VAIDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 W RIDGEWOOD AVE STE 100, PARAMUS, NJ 07652-2359
(201) 444-4322
Mailing address
91 HEATHER CT, EDISON, NJ 08820-1067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03607800
NJ
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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