Vivian K. Bethala, MD PA
Vivian K. Bethala, MD PA provides Specialist services in Emerson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
466 Old Hook Rd Ste 9Emerson, NJ 07630-1396
Phone: (201) 261-1005
Fax: (201) 261-4208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 25MA0371400 (NJ) |
|---|
Record details
| NPI number | 1568412799 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vivian Bethala — President · (201) 261-1005 |
| NPI enumerated | May 10, 2006 |
| Last updated in NPPES | December 2, 2016 |
| Mailing address | 466 Old Hook Rd, Suite 9, Emerson, NJ 07630-1396 |
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Mr. Jay Greenspan, PT
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Orthpaedic & Sports Medicine Associates, PA
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