Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 25MB09533400 | NJ |
N | 207PP0204X | Pediatric Emergency Physician | 269909 | NY |
NPI | 1235422171 |
---|---|
Provider Name | Dr. Mihir Vyas |
First Address | Morristown, NJ 07960-6136 |
Second Address | Morristown, NJ 07960-6136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2011 |
Last Update Date | 09/12/2016 |