Individual
DR. PALANISAMY S SUNDARAM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
860 GROVE ST, IRVINGTON, NJ 07111-3601
(973) 399-8650
(973) 533-4470
Mailing address
860 GROVE ST, IRVINGTON, NJ 07111-3601
(973) 399-8650
(973) 533-4470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02857500
NJ
Other
Enumeration date
10/01/2006
Last updated
08/28/2009
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