Individual
SHOBHA SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 BERGEN ST, ACC LEVEL D, NEWARK, NJ 07103-2425
(973) 972-4071
(973) 972-3102
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA07186000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044059
—
NJ
Enumeration date
07/05/2006
Last updated
02/03/2022
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