Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MA10831300 | NJ |
N | 2080P0205X | Pediatric Endocrinologist | 289700 | NY |
NPI | 1033514369 |
---|---|
Provider Name | Swathi Sethuram |
First Address | New Brunswick, NJ 08901-4094 |
Second Address | New Brunswick, NJ 08901-1766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2014 |
Last Update Date | 09/11/2021 |