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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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