Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 25MA07140300 | NJ |
NPI | 1639295470 |
---|---|
Provider Name | Hayman Rambaran |
First Address | Paramus, NJ 07652-4142 |
Second Address | Paramus, NJ 07652-4142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H60204 | (02) | NJ |