Viswanathan, Anjali

Viswanathan, Anjali is an sole proprietor health care provider with primary practice located at 815 Baltimore Ave , Roselle NJ 07203-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Viswanathan, Anjali can be contacted via phone (908) 245-3446.

Contact Information

Primary practice address
815 Baltimore Ave Roselle NJ 07203-2309
Fax: (908) 245-5868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08394300 New Jersey

Profile Details

NPI number 1366415192
LBN Legal business name Viswanathan, Anjali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jul 24th, 2008 - about 17 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 1366415192 NPPES
New Jersey MEDICAID 0163694

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