Individual
DR. SHANTHA WARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 POCONO RD, DENVILLE, NJ 07834-2954
(973) 983-5541
Mailing address
1 VAN BEUREN RD, MORRISTOWN, NJ 07960-7008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA03307300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323306
—
NJ
Enumeration date
06/03/2006
Last updated
07/08/2007
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