Organization
ENDOCRINE ASSOCIATES OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMA VENKATARAMAN MD (CEO)
(973) 779-7361
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(973) 779-7361
(973) 779-7385
Mailing address
PO BOX 1268, RIDGEWOOD, NJ 07450-0007
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA07797300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07797300
STATE LICENSE
NJ
Enumeration date
07/08/2010
Last updated
06/25/2014
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