Individual
SUSHEELA RAGHUNATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 RT 130 NORTH, NORTH BRUNSWICK, NJ 08902
(732) 821-3211
(732) 821-3024
Mailing address
1412 RT 130, NORTH BRUNSWICK, NJ 08902
(732) 821-3211
(732) 821-3024
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA38203
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5077508
—
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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