Individual
VIVIAN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 BRIDGETON PIKE, STE C, MULLICA HILL, NJ 08062-2669
(856) 223-8930
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(856) 663-6050
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05375400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145509
—
NJ
Enumeration date
07/07/2006
Last updated
07/12/2021
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