Individual
DR. JAYRAM KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.B.A.
Contact information
Practice address
136 ROUTE 73, VOORHEES, NJ 08043-9598
(877) 388-2778
(856) 424-7529
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MB08869800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08869800
NJ STATE MEDICAL LICENSE
NJ
01
—
DO1872
STATE LICENSE
NV
Enumeration date
12/19/2005
Last updated
07/12/2023
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