Damle, Vasanti J

Damle, Vasanti J is an sole proprietor health care provider with primary practice located at 2 Marine View Plz , Hoboken NJ 07030-5760. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Damle, Vasanti J can be contacted via phone (201) 420-1715.

Contact Information

Primary practice address
2 Marine View Plz Hoboken NJ 07030-5760
Fax: (201) 420-1179
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA042120 New Jersey

Profile Details

NPI number 1114035987
LBN Legal business name Damle, Vasanti J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
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 1114035987 NPPES
New Jersey MEDICAID 0303003

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