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NPI Code Detail

MEDICARE: MS. HETAL VIG MS, CGC

MEDICARE: MS. HETAL VIG MS, CGC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1912981432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HETAL VIG MS, CGC
Provider Business Mailing Address
First Line : 195 LITTLE ALBANY ST
Second Line :
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1914
Country : US
Telephone Number : 732-235-8933
Fax Number : 732-235-4940
Provider Business Practice Location Address
First Line : 195 LITTLE ALBANY ST
Second Line :
City : NEW BRUNSWICK
State : NJ
Zip : 08901-1914
Country : US
Telephone Number : 732-235-8933
Fax Number : 732-235-4940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 01/10/2011

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