Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA03700200 | NJ |
NPI | 1023028743 |
---|---|
Provider Name | Dr. Hullur R Ramamurthy |
First Address | Trenton, NJ 08618-4513 |
Second Address | Trenton, NJ 08618-4513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3948005 | (05) | NJ |
E88624 | (02) | NJ |