Individual
DR. KAVITHA THUKKARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
212 BRIDGE ST, METUCHEN, NJ 08840-2290
(732) 632-1700
(732) 632-1704
Mailing address
212 BRIDGE ST, METUCHEN, NJ 08840-2290
(732) 632-1700
(732) 632-1704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA72859
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MA72859
NJ
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
MA72859
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005681
—
NJ
Enumeration date
06/02/2006
Last updated
03/05/2025
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