Provider Demographics
NPI:1275743510
Name:RAND, VICTORIA ELANA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ELANA
Last Name:RAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 OAK RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901
Mailing Address - Country:US
Mailing Address - Phone:914-819-8583
Mailing Address - Fax:914-457-1198
Practice Address - Street 1:149 OAK RIDGE AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901
Practice Address - Country:US
Practice Address - Phone:914-819-8583
Practice Address - Fax:914-457-1198
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09068300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine