Gnana Sunderam in East Orange - Specialist

Gnana Sunderam - NPI 1164446761

Gnana Sunderam is a Specialist in East Orange, New Jersey. Gnana Sunderam practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gnana Sunderam is 1164446761. The last update date is 2013-01-09.

Gnana Sunderam's current location address is 310 Central Ave, East Orange, New Jersey. You can contact this provider via phone number 9732669111 and fax number 9732661227. The mailing address for Gnana Sunderam is 310 Central Ave, East Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Gnana Sunderam
Address 310 Central Ave, East Orange, New Jersey
Phone Number 9732669111
Fax Number 9732661227
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1164446761
Provider Enumeration Date 2006-07-27
Last Updated Date 2013-01-09

Provider Mailing Address Detail

Address 310 Central Ave
City East Orange
State New Jersey (NJ)
Post Code 70182835
Phone Number 9732669111
Fax Number 9732661227

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MA04298800
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1264508 NJ --

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FAQs about Gnana Sunderam

What is the unique 10-digit identification code assigned to Gnana Sunderam by the Centers for Medicare & Medicaid Services?

The Gnana Sunderam has been issued the NPI (National Provider Identifier) 1164446761, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gnana Sunderam is geographically located?

The Gnana Sunderam is physically situated at the following location: 310 Central Ave, East Orange, NJ, 70182835.

What is the Gnana Sunderam's specialty and taxonomy code?

The Gnana Sunderam's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Gnana Sunderam receive the assignment of its 1164446761 from the Centers for Medicare & Medicaid Services?

The Gnana Sunderam was issued its 1164446761 by the Centers for Medicare & Medicaid Services on 2006-07-27.

When was the information regarding Gnana Sunderam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gnana Sunderam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-01-09.

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