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NPI Code Detail

MEDICARE: ARNAV VASUDEVA DO

MEDICARE: ARNAV VASUDEVA DO
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
1207V00000XObstetrics & Gynecology PhysicianOS024298PA
2207V00000XObstetrics & Gynecology Physician25MB11346300NJ

General Provider Information

NPI Number : 1174018212
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARNAV VASUDEVA DO
Provider Business Mailing Address
First Line : 300 2ND AVE RM 215SW
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-923-6795
Fax Number :
Provider Business Practice Location Address
First Line : 300 2ND AVE RM 215SW
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-923-6795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 11/06/2024

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