Individual
DR. RAJAPRIYA MANICKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016
(201) 414-5732
Mailing address
234 E 149TH ST DEPT, BRONX, NY 10451-5504
(718) 579-5278
(718) 579-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279694
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
279694
NY
207RP1001X
Pulmonary Disease Physician
Primary
25MA09683500
NJ
207RP1001X
Pulmonary Disease Physician
279694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484458
—
NJ
Enumeration date
01/03/2011
Last updated
03/11/2024
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