Provider Demographics
NPI:1255414678
Name:YOGESH V VIROJA MD PC
Entity type:Organization
Organization Name:YOGESH V VIROJA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:V
Authorized Official - Last Name:VIROJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-859-4446
Mailing Address - Street 1:755 MEMORIAL PARKWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865
Mailing Address - Country:US
Mailing Address - Phone:908-859-4446
Mailing Address - Fax:908-859-1569
Practice Address - Street 1:755 MEMORIAL PARKWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865
Practice Address - Country:US
Practice Address - Phone:908-859-4446
Practice Address - Fax:908-859-1569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-21
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
850473Medicare ID - Type Unspecified