Individual
SIVA P JONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 745-8725
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA06758400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7769407
—
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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