Vivian K. Bethala, Md Pa in Emerson - Specialist
Vivian K. Bethala, Md Pa - NPI 1568412799
Vivian K. Bethala, Md Pa is a Specialist in Emerson, New Jersey. Vivian K. Bethala, Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Vivian K. Bethala, Md Pa is 1568412799. The last update date is 2016-12-02.
Vivian K. Bethala, Md Pa's current location address is 466 Old Hook Rd, Emerson, New Jersey. You can contact this provider via phone number 2012611005 and fax number 2012614208. The mailing address for Vivian K. Bethala, Md Pa is 466 Old Hook Rd, Emerson, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vivian K. Bethala, Md Pa |
|---|---|
| Address | 466 Old Hook Rd, Emerson, New Jersey |
| Phone Number | 2012611005 |
| Fax Number | 2012614208 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bethala K Vivian |
| Credentials | MD |
| Telephone Number | 2012611005 |
NPI Number Detail
| NPI Number | 1568412799 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2016-12-02 |
Provider Mailing Address Detail
| Address | 466 Old Hook Rd |
|---|---|
| City | Emerson |
| State | New Jersey (NJ) |
| Post Code | 76301396 |
| Phone Number | 2012611005 |
| Fax Number | 2012614208 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA0371400 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4906403 | NJ | -- |
Post Comment/ Review Below
What is the Vivian K. Bethala, Md Pa's unique identification number?
The Vivian K. Bethala, Md Pa has been assigned the NPI (National Provider Identifier) Number 1568412799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Vivian K. Bethala, Md Pa's physical address?
The Vivian K. Bethala, Md Pa is physically located at 466 Old Hook Rd, in the city of Emerson, NJ, with the postal code 76301396.
What is Vivian K. Bethala, Md Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Vivian K. Bethala, Md Pa is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Vivian K. Bethala, Md Pa receive its 1568412799 assignment from the Centers for Medicare & Medicaid Services?
The Vivian K. Bethala, Md Pa was assigned its 1568412799 by the Centers for Medicare & Medicaid Services on 2006-05-10.
When was the information related to Vivian K. Bethala, Md Pa most recently updated or refreshed?
The details pertaining to the Vivian K. Bethala, Md Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-02.