Anisetti, Vimlesh K

Anisetti, Vimlesh K is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Anisetti, Vimlesh K can be contacted via phone (732) 222-5200.

Contact Information

Primary practice address
300 2Nd Ave Long Branch NJ 07740-6303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA 63513 New Jersey

Profile Details

NPI number 1902803455
LBN Legal business name Anisetti, Vimlesh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902803455 NPPES
New Jersey MEDICAID 6928005

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