Individual
GAITHRI RAMANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
610 CROSS KEYS RD STE 203, SICKLERVILLE, NJ 08081-9580
(856) 250-1515
(856) 249-9118
Mailing address
610 CROSS KEYS RD STE 203, SICKLERVILLE, NJ 08081-9580
(856) 250-1515
(856) 249-9118
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13652
CA
152W00000X
Optometrist
Primary
27OA00610001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438301
MEDICARE
NJ
Enumeration date
06/25/2007
Last updated
05/13/2024
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