Organization · Type 2 NPI
Vivian K. Bethala, MD PA
Specialist · Emerson, NJ
NPI number
1568412799
Active
Practice location
466 Old Hook Rd, Suite 9
Emerson, NJ 07630-1396
Fax (201) 261-4208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA0371400 (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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Other specialist providers in Emerson
About NPI 1568412799
Vivian K. Bethala, MD PA's National Provider Identifier is 1568412799, issued on May 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Emerson, NJ. The record was last updated on Dec 2, 2016.