Individual provider · Type 1 NPI

Vivian K. Bethala, MD

Specialist · Emerson, NJ

NPI number 1235191800 Active

Practice location

466 Old Hook Rd, Suite 9
Emerson, NJ 07630-1396

Call (201) 261-1005 Map

Fax (201) 261-4208

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA03714400 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1235191800

Vivian K. Bethala, MD's National Provider Identifier is 1235191800, issued on Apr 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Emerson, NJ. The record was last updated on Aug 10, 2016.