Individual
VENKATESAN SOUNDERARAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
124 KINGSLAND CIR, MONMOUTH JUNCTION, NJ 08852-2532
(908) 416-0105
Mailing address
124 KINGSLAND CIR, MONMOUTH JUNCTION, NJ 08852-2532
(908) 416-0105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15203900
NJ
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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