Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA04458000 | NJ |
Y | 111NI0900X | Internist | 25MA04458000 | NJ |
N | 207RC0200X | Critical Care Medicine | MA44580 | NJ |
N | 207RP1001X | Pulmonary Disease | MA44580 | NJ |
NPI | 1063492965 |
---|---|
Provider Name | Dr. Daya Nadarajah |
First Address | Newton, NJ 07860-9604 |
Second Address | Newton, NJ 07860-9604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 18/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2106205 | (05) | NJ |
E22260 | (02) | NJ |