Dandu, Vijay R

Dandu, Vijay R is an individual health care provider with primary practice located at 119 Ocean Ave , Jersey City NJ 07305-2500. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Dandu, Vijay R can be contacted via phone (201) 432-6968.

Contact Information

Primary practice address
119 Ocean Ave Jersey City NJ 07305-2500
Phone: (201) 432-6968
Fax: (201) 432-7004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 28RI02207600 New Jersey

Profile Details

NPI number 1457628703
LBN Legal business name Dandu, Vijay R
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Sep 17th, 2017 - about 7 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 1457628703 NPPES
New Jersey MEDICAID 9092501

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