Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 25MA07967300 | NJ |
NPI | 1023146370 |
---|---|
Provider Name | Charumathi Rathnakumar |
First Address | Dayton, NJ 08810-1492 |
Second Address | Edison, NJ 08820-1102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |