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Contact Information

MAYILATHAL VASUDEVAN, NP
3140 PRINCETON PIKE FL 2
LAWRENCEVILLE, NJ08648-2330
 Phone: 609-895-1919
 Fax: 609-895-2900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neuroscience

163WN0800X
Indicates primary specialty

NPI Profile & details for MAYILATHAL VASUDEVAN · (Female)

NPI Number 1720607260
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/14/2020
Last updated 06/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ01240200
  • NJ License # 26NRI4696700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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