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Organization
SANDIRA V SEGARAM MD LLC
Active
Organization
SANDIRA V SEGARAM MD LLC
Active
Other names
Sandira V. Segaram MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDIRA VAITHIA SEGARAM MD (PHYSICIAN OWNER)
(908) 813-2888
Entity
Organization
Contact information
Practice address
653 WILLOW GROVE ST, SUITE 1600, HACKETTSTOWN, NJ 07840-1732
(908) 813-2888
(908) 813-2521
Mailing address
653 WILLOW GROVE ST, SUITE 1600, HACKETTSTOWN, NJ 07840-1732
(908) 813-2888
(908) 813-2521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05040500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1928902
—
NJ
Enumeration date
01/29/2007
Last updated
01/08/2008
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