Viswambharan, Ajay
Viswambharan, Ajay is an individual health care provider with primary practice located at 30 E Maryland Ave , Somers Point NJ 08244-2451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Viswambharan, Ajay can be contacted via phone (609) 677-9729.Contact Information
Primary practice address
30 E Maryland Ave
Somers Point NJ 08244-2451
Phone: (609) 677-9729
Fax: (609) 652-6270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA07553600 | New Jersey |
Profile Details
| NPI number | 1275649998 |
|---|---|
| LBN Legal business name | Viswambharan, Ajay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Apr 5th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275649998 | NPPES |
| New Jersey | MEDICAID | 0002704 | |
| New Jersey | Other | P00061982 | |
| New Jersey | Other | P00758296 | |
| New Jersey | Other | P00847752 |
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