Healthcare Provider Details

I. General information

NPI: 1013070622
Provider Name (Legal Business Name): VIGMAN & POLLOCK, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 MAPLE ST SUITE 104
SUMMIT NJ
07901-2571
US

IV. Provider business mailing address

47 MAPLE ST SUITE 104
SUMMIT NJ
07901-2571
US

V. Phone/Fax

Practice location:
  • Phone: 908-277-2722
  • Fax: 908-273-5970
Mailing address:
  • Phone: 908-277-2722
  • Fax: 908-273-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELVIN P VIGMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 908-277-2722