Individual
REGGIE RAMACHANDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8661
(856) 575-4944
Mailing address
1505 W SHERMAN AVE, BOX 93, VINELAND, NJ 08360-6912
(856) 641-8661
(856) 575-4944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
293487
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
05/04/2014
Last updated
04/24/2018
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