Dr VIVIAN KUMAR BETHALA MD is a male medical professional, specializing in Gastroenterology. He graduated in 1974.
VIVIAN K BETHALA MD PA
466 OLD HOOK RD
SUITE 9
EMERSON
NJ
076301510
Tel: 2012611005
| Npi | 1235191800 |
| Pac Id | 7719875277 |
| Professional Enrollment Id | I20040306000105 |
| Last Name | BETHALA |
| First Name | VIVIAN |
| Middle Name | KUMAR |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | VIVIAN K BETHALA MD PA |
| Group Practice Pac Id | 6800884040 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 466 OLD HOOK RD |
| Line 2 Street Address | SUITE 9 |
| Marker Of Address Line 2 Suppression | |
| City | EMERSON |
| State | NJ |
| Zip Code | 076301510 |
| Phone Number | 2012611005 |
| Hospital Affiliation Ccn 1 | 310012 |
| Hospital Affiliation Lbn 1 | VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | 310008 |
| Hospital Affiliation Lbn 2 | HOLY NAME MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 310130 |
| Hospital Affiliation Lbn 3 | HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL |
| Hospital Affiliation Ccn 4 | 310045 |
| Hospital Affiliation Lbn 4 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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