Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 25MA06938100 | NJ |
N | 2086X0206X | Surgical Oncologist | MAO7549566 | NJ |
NPI | 1083665053 |
---|---|
Provider Name | Thangamani Seenivasan |
First Address | Somerville, NJ 08876-2500 |
Second Address | Somerville, NJ 08876-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 13/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
071807BP7 | (02) | NJ |
H90713 | (02) |