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General NPI Number Information
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NPI Number | 1972550911
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Entity Type | Individual
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Provider Name | AJAY K MUNJAL MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 1450 E CHESTNUT AVE BUILDING 4, SUITE A
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City | VINELAND
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State | NJ
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Zip | 08361-8467
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Country | US
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Telephone | 856-794-8664
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Fax | 856-794-2671
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Provider Business Mailing Address
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Address Line | 18 BROADACRE DR
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-4703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MA55741
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License Number State | NJ
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