Individual provider · NPI-1

Dr. Zachary Patrick Vijayan Acevedo, MD

Student in an Organized Health Care Education/Training Program · New Brunswick, NJ

NPI number1417575465
StatusActive
Last updated in NPPESJan 23, 2026

Details

NPI
1417575465
Entity type
Individual (NPI-1)
Name
Dr. Zachary Patrick Vijayan Acevedo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2020
Certification date
Jan 23, 2026
Last updated
Jan 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

317 George St
New Brunswick, NJ 08901-2008

Phone 732-235-8993 · Fax 732-246-7317

Mailing address

317 George St
New Brunswick, NJ 08901-2008

Phone 732-235-8993 · Fax 732-246-7317

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