Individual
DR. MUTHU VEL SIVASANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 LIPPINCOTT DR STE 115, MARLTON, NJ 08053-4161
(856) 355-7010
(856) 355-7011
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
25MA10690400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720321
—
NJ
Enumeration date
06/20/2012
Last updated
03/31/2026
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