Individual
JOSEPH K KANNADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(732) 585-9035
Mailing address
74 LONE STAR LN, MANALAPAN, NJ 07726-3878
(267) 455-4542
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01261500
NJ
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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