Individual
DR. NIRANJAN K PENUPATRUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 JAMES ST FL 4, EDISON, NJ 08820-3938
(732) 632-1571
(732) 632-1644
Mailing address
695 US HIGHWAY 46, STE 400A, FAIRFIELD, NJ 07004-1568
(973) 826-8291
(888) 972-6480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04541800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024163
—
NJ
Enumeration date
04/16/2008
Last updated
01/25/2019
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