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1619336559
VIJAY PERUVEMBA
NEWTON, NJ
NPI
1619336559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MB10657600)
Enumeration Date
2016-02-21
Last Update Date
2019-09-20
Business Address
VIJAY PERUVEMBA D.O.
175 HIGH ST
NEWTON, NJ 07860-1004
Phone number: 973-579-8321
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Mailing Address
VIJAY PERUVEMBA D.O.
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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