Provider Demographics
NPI:1407804610
Name:VINOD, ARUNDHATI HRISHIKESH
Entity Type:Individual
Prefix:
First Name:ARUNDHATI
Middle Name:HRISHIKESH
Last Name:VINOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 OLD HOOK ROAD
Mailing Address - Street 2:STE 21
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630
Mailing Address - Country:US
Mailing Address - Phone:201-262-8777
Mailing Address - Fax:201-262-4673
Practice Address - Street 1:200 ENGLE STREET
Practice Address - Street 2:STE 102
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-568-5940
Practice Address - Fax:201-568-2046
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C56265Medicare UPIN