Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA10600300 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA10600300 | NJ |
NPI | 1013343714 |
---|---|
Provider Name | Ravi Verma |
First Address | Somerset, NJ 08873-1369 |
Second Address | Wall Township, NJ 07753-6952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2013 |
Last Update Date | 14/06/2020 |