Individual
NIMITHA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 JOHN F KENNEDY BLVD W, 2ND FLOOR, BAYONNE, NJ 07002
(201) 748-2547
Mailing address
7 PADDOCK CT, EDISON, NJ 08820-2985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02811300
NJ
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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