Gendel, Vyacheslav

Gendel, Vyacheslav is an individual health care provider with primary practice located at 483 Cranbury Rd , East Brunswick NJ 08816-3610. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gendel, Vyacheslav can be contacted via phone (732) 390-0030.

Contact Information

Primary practice address
483 Cranbury Rd East Brunswick NJ 08816-3610
Phone: (732) 390-0030
Fax: (732) 390-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA09043600 New Jersey
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA09043600 New Jersey

Profile Details

NPI number 1992954283
LBN Legal business name Gendel, Vyacheslav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2008
Last updated Jan 31st, 2023 - about last year

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 1992954283 NPPES
New York MEDICAID 03561539
New York MEDICAID 0348813

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