Provider Demographics
NPI:1609000199
Name:VAIDYA, DARSHAN C (MD)
Entity Type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:C
Last Name:VAIDYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CENTRE DR
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-1864
Mailing Address - Country:US
Mailing Address - Phone:609-655-4544
Mailing Address - Fax:609-655-2390
Practice Address - Street 1:5 CENTRE DR
Practice Address - Street 2:SUITE 1A
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-1864
Practice Address - Country:US
Practice Address - Phone:609-655-4544
Practice Address - Fax:609-655-2390
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09072300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology