Basic Information
Provider Information
NPI: 1255414678
EntityType: 2
ReplacementNPI:  
OrganizationName: YOGESH V VIROJA MD PC
LastName:  
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Mailing Information
Address1: 755 MEMORIAL PARKWAY
Address2: SUITE 203
City: PHILLIPSBURG
State: NJ
PostalCode: 08865
CountryCode: US
TelephoneNumber: 9088594446
FaxNumber: 9088591569
Practice Location
Address1: 755 MEMORIAL PARKWAY
Address2: SUITE 203
City: PHILLIPSBURG
State: NJ
PostalCode: 08865
CountryCode: US
TelephoneNumber: 9088594446
FaxNumber: 9088591569
Other Information
ProviderEnumerationDate: 10/21/2006
LastUpdateDate: 06/20/2012
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: VIROJA
AuthorizedOfficialFirstName: YOGESH
AuthorizedOfficialMiddleName: V
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 9088594446
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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