MEDICARE: MR. NAGINDAS M VORA MD

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	208600000X	Surgery Physician	25MA03711700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558386144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NAGINDAS M VORA MD

Provider Business Mailing Address
First Line	:	181 N BROADWAY
Second Line	:
City	:	PENNSVILLE
State	:	NJ
Zip	:	08070-1550
Country	:	US
Telephone Number	:	856-678-9002
Fax Number	:	856-678-4027

Provider Business Practice Location Address
First Line	:	66 EAST AVE
Second Line	:	SUITE C
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1417
Country	:	US
Telephone Number	:	856-624-4319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	12/01/2016

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