Vivian K. Bethala, Md Pa

LBN: Vivian K. Bethala, Md Pa
Vivian K. Bethala, Md Pa is an health care organization with primary practice located at 466 Old Hook Rd Suite 9, Emerson NJ 07630-1396. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Vivian K. Bethala, Md Pa can be contacted via phone (201) 261-1005, or through Bethala, Vivian K via phone (201) 261-1005.

Contact Information

Primary practice address
466 Old Hook Rd Suite 9 Emerson NJ 07630-1396
Phone: (201) 261-1005
Fax: (201) 261-4208
Website:
Map and Directions
Authorized official contact:
Name: Bethala, Vivian K Doctor of Medicine (MD)
Phone: (201) 261-1005

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA0371400 New Jersey

Profile Details

NPI number 1568412799
LBN Legal business name Vivian K. Bethala, Md Pa
DBA Doing business as
Authorized official Bethala, Vivian K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Dec 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568412799 NPPES
New Jersey MEDICAID 4906403

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