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Individual

DR. AJANTHA RANGASAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
222 PROSPECT AVE, FL 2, BAYONNE, NJ 07002-4722
(646) 251-5722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241341
NY

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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