Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MA 071228 | NJ |
NPI | 1114000114 |
---|---|
Provider Name | Ramesh Kumar |
First Address | Toms River, NJ 08757 |
Second Address | Toms River, NJ 08757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8710708 | (05) | NJ |
G 38224 | (02) |