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NPI Code Detail

MEDICARE: DR. RAJESH VIJ B.D.S. D.D.S.

MEDICARE: DR. RAJESH VIJ B.D.S. D.D.S.
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
11223P0221XPediatric Dentistry19598OH

Other Identifiers

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

General Provider Information

NPI Number : 1598841082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJESH VIJ B.D.S. D.D.S.
Provider Business Mailing Address
First Line : 3523 COMMERCIAL DR
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-5107
Country : US
Telephone Number : 330-668-9977
Fax Number :
Provider Business Practice Location Address
First Line : 3523 COMMERCIAL DR
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-5107
Country : US
Telephone Number : 330-668-9977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 10/29/2009

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