Vimalananda, Samson G

Vimalananda, Samson G is an individual health care provider with primary practice located at 1610 Route 88 Fl 3 , Brick NJ 08724-3018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Vimalananda, Samson G can be contacted via phone (732) 295-6543.

Contact Information

Primary practice address
1610 Route 88 Fl 3 Brick NJ 08724-3018
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D20273 Maryland
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA10657200 New Jersey

Profile Details

NPI number 1578500955
LBN Legal business name Vimalananda, Samson G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 28th, 2022 - about 3 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 1578500955 NPPES
Other 461905000 MAGE
Other PVPB76641 MAGE
Other 0019 MAGE
Other 595882 MAGE
Other 096890 MAGE
Other 1023561 MAGE
Other 253557 MAGE
Other 150N131G MAGE
Other 221073 MAGE
Other 42225312 MAGE

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