Individual provider · Type 1 NPI

Vikas S. Bawa, D.P.M.

Foot & Ankle Surgery Podiatrist · Newark, NJ

NPI number 1053480475 Active

Practice location

1060 Broad St, Lower Level Medical Office
Newark, NJ 07102-2397

Fax (973) 741-2700

Mailing address

12 Sherwood Ln
Columbus, NJ 08022-2248

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X25MD00260200 (NJ)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1053480475

Vikas S. Bawa, D.P.M.'s National Provider Identifier is 1053480475, issued on Nov 7, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Newark, NJ. The record was last updated on Sep 4, 2008.