MEDICARE: VIJAYANT SINGH LLC

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1205618436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIJAYANT SINGH LLC

Provider Business Mailing Address
First Line	:	105 GREENE ST APT 607
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3849
Country	:	US
Telephone Number	:	201-888-5973
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 GREENE ST APT 607
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3849
Country	:	US
Telephone Number	:	201-888-5973
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VIJAYANT SINGH
Credential	:	MD
Telephone Number	:	201-888-5973

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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