# HEALTHY LIFE MD., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972041143
- **Authorized official:** SHOBANA NATARAJAN (SOLE OWNER)
- **Authorized official phone:** (732) 515-9944

## Contact information

- **Practice address:** 3840 PARK AVE STE 103, EDISON, NJ 08820-2563
- **Practice address phone:** (732) 515-9944
- **Practice address fax:** (732) 515-9945
- **Mailing address:** 3840 PARK AVE STE 103, EDISON, NJ 08820-2563
- **Mailing address phone:** (732) 515-9944
- **Mailing address fax:** (732) 515-9945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017