Provider Demographics
NPI:1013070622
Name:VIGMAN & POLLOCK, PA
Entity Type:Organization
Organization Name:VIGMAN & POLLOCK, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:VIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-277-2722
Mailing Address - Street 1:47 MAPLE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2571
Mailing Address - Country:US
Mailing Address - Phone:908-277-2722
Mailing Address - Fax:908-273-5970
Practice Address - Street 1:47 MAPLE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2571
Practice Address - Country:US
Practice Address - Phone:908-277-2722
Practice Address - Fax:908-273-5970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ543809Medicare ID - Type Unspecified