Bagade, Vivek Laxman
Bagade, Vivek Laxman is an individual health care provider with primary practice located at 452 Old Hook Rd 2Nd Floor, Emerson NJ 07630-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bagade, Vivek Laxman can be contacted via phone (201) 666-3900.Contact Information
Primary practice address
452 Old Hook Rd 2Nd Floor
Emerson NJ 07630-1381
Phone: (201) 666-3900
Fax: (201) 261-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06029400 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38451 - 020 | Wisconsin |
Profile Details
| NPI number | 1760650394 |
|---|---|
| LBN Legal business name | Bagade, Vivek Laxman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2008 |
| Last updated | Apr 21st, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760650394 | NPPES |
| New Jersey | MEDICAID | 7080000 |
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