| Doctor Name: | DR. VINAY BHARDWAJ |
| NPI Number: | 1073711347 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 06976278 |
| Business Practice Address: | 300 2nd Ave Monmouth Medical Center Long Branch, NJ - 077406303 |
| Business Phone Number: | 8887247123 |
| Business Fax Number: | |
| Mailing Address: | 614b Pinebrook Rd, EATONTOWN |
| State: | NJ |
| Postal Code: | 077241251 |
| Phone Number: | 7326766071 |
| Fax Number: | 7326766490 |
| NPI Enumeration Date: | 07/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 06976278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |