Provider Demographics
NPI:1710605837
Name:VINRJ LLC
Entity Type:Organization
Organization Name:VINRJ LLC
Other - Org Name:JOINT REGENERATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BILODARIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-608-1131
Mailing Address - Street 1:A2 COLONIAL DR UNIT 8
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-7308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 MAIN DUNSTABLE RD STE 140
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3666
Practice Address - Country:US
Practice Address - Phone:603-577-1965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty