Vijayakumar, Asha M

Vijayakumar, Asha M is an individual health care provider with primary practice located at 152 Central Ave , Clark NJ 07066-1115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vijayakumar, Asha M can be contacted via phone (732) 382-9700.

Contact Information

Primary practice address
152 Central Ave Clark NJ 07066-1115
Fax: (732) 382-9707
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA07882600 New Jersey

Profile Details

NPI number 1043389083
LBN Legal business name Vijayakumar, Asha M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Nov 2nd, 2015 - about 9 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 1043389083 NPPES
New Jersey MEDICAID 0121924

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