Individual
DR. VYACHESLAV GENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3610
(732) 390-0030
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09043600
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA09043600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348813
—
NJ
05
—
03561539
—
NY
Enumeration date
09/11/2008
Last updated
01/31/2023
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