Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 206371-1 | NY |
NPI | 1447285069 |
---|---|
Provider Name | Dr. Sushma Dhar Kaul |
First Address | Cresskill, NJ 07626-1754 |
Second Address | New York, NY 10029-7494 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 06/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8077401 | (05) | NJ |
E54083 | (02) |