Individual
SRIVIDYA NAGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4267
(732) 776-3161
Mailing address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4267
(732) 776-3161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA0763110
NJ
Other
Enumeration date
03/23/2006
Last updated
07/15/2010
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