Individual
REVATHI NAADIMUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 STILLWELLS CORNER RD, STE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
Mailing address
509 STILLWELLS CORNER RD, STE E5, FREEHOLD, NJ 07728-2965
(732) 431-9333
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA08526400
NJ
Other
Enumeration date
05/31/2008
Last updated
08/04/2009
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