Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 25MA08986900 | NJ |
NPI | 1043486129 |
---|---|
Provider Name | Dr. Subhashini Subramanian |
First Address | Paramus, NJ 07652-3311 |
Second Address | Hackensack, NJ 07601-1749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 20/09/2011 |