Individual
DR. LAKSHMI N. MOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 FRENCH STREET, SUITE 2300, NEW BRUNSWICK, NJ 08901
(732) 235-4980
(732) 235-7088
Mailing address
66 W GILBERT ST FL 2, TINTON FALLS, NJ 07701-4947
(201) 759-6921
(322) 120-7137
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07670900
NJ
2080P0216X
Pediatric Rheumatology Physician
Primary
25MA07670900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042412
—
NJ
Enumeration date
10/24/2006
Last updated
05/02/2024
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