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1215999313
VIJAY KISHORE PRASAD
KINGSTON, PA
NPI
1215999313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA MD422321)
Enumeration Date
2006-04-04
Last Update Date
2020-12-11
Business Address
VIJAY KISHORE PRASAD MD
2 SHARPE ST
KINGSTON, PA 18704-3715
Phone number: 570-491-0126
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Mailing Address
VIJAY KISHORE PRASAD MD
PO BOX 858 MC A410
HERSHEY, PA 17033-0858
Phone number: 800-243-1455
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