MEDICARE: KAJOL VORA

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	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	043955	NY

General Provider Information

NPI Number	:	1780157370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAJOL VORA

Provider Business Mailing Address
First Line	:	425 WASHINGTON BLVD APT 2012
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2051
Country	:	US
Telephone Number	:	772-480-9938
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 WASHINGTON BLVD APT 2012
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2051
Country	:	US
Telephone Number	:	772-480-9938
Fax Number	:

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

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	01/07/2019

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Directions to “ KAJOL VORA ” Practice Location

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