Individual
MRS. ANIAMMA THOMAS VENGATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
10 JERNEE DR, EAST BRUNSWICK, NJ 08816-5307
(732) 485-7776
Mailing address
10 JERNEE DR, EAST BRUNSWICK, NJ 08816-5307
(732) 485-7776
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00864000
NJ
Other
Enumeration date
10/15/2018
Last updated
08/08/2024
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