Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 25MA056665 | NJ |
N | 207KA0200X | Allergist | 25MA056665 | NJ |
NPI | 1205806924 |
---|---|
Provider Name | Dr. Sunita Kanumury |
First Address | Denville, NJ 07834-2554 |
Second Address | Denville, NJ 07834-2554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 22/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6325408 | (05) | NJ |
G25591 | (02) |