| Uma M. Viswanathan, Md Pa | |
|
815 Baltimore Ave Roselle NJ 07203-2309 | |
| (908) 245-3446 | |
| (908) 245-9265 |
| Full Name | Uma M. Viswanathan, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 Baltimore Ave, Roselle, New Jersey |
| Authorized Official Name and Position | Ram Viswanathan (VICE PRESIDENT) |
| Authorized Official Contact | 9082453446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uma M. Viswanathan, Md Pa 815 Baltimore Ave Roselle NJ 07203-2309 Ph: (908) 245-3446 | Uma M. Viswanathan, Md Pa 815 Baltimore Ave Roselle NJ 07203-2309 Ph: (908) 245-3446 |
| NPI Number | 1962643874 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Medicare PECOS PAC ID | 0648442459 |
|---|---|
| Medicare Enrollment ID | O20111020000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962643874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08394300 (New Jersey) | Primary |
| 208000000X | Pediatrics | 25MA06880000 (New Jersey) | Secondary |
| Provider Name | Anjali Viswanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366415192 PECOS PAC ID: 7012930829 Enrollment ID: I20080815000108 |
| Provider Name | Kunjal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487918637 PECOS PAC ID: 6709189160 Enrollment ID: I20160120000198 |
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