Organization
GNANA SUNDERAM MD; PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GNANA SUNDERAM MD (PHYSICIAN)
(973) 266-9111
Entity
Organization
Contact information
Practice address
310 CENTRAL AVE STE 205, EAST ORANGE, NJ 07018-2838
(973) 266-1227
Mailing address
310 CENTRAL AVE STE 205, EAST ORANGE, NJ 07018-2838
(973) 266-1227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04298800
NJ
Other
Enumeration date
10/05/2010
Last updated
11/23/2010
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