Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 125197 | NY |
N | 208600000X | Surgeon | 125197 | NY |
Y | 208200000X | Surgeon | MA32752 | NJ |
Y | 208600000X | Surgeon | MA32752 | NJ |
NPI | 1003972787 |
---|---|
Provider Name | Dr. Angappan Murugesan |
First Address | Holmdel, NJ 07733 |
Second Address | Hazlet, NJ 07730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 18/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0815306 | (05) | NJ |
475816 | (02) |