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Individual

DR. MEENA NATHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 LYONS AVE, L5, CHILDRENS HEART CENTER, NBIMC, NEWARK, NJ 07112-2027
(973) 926-4900
(973) 926-8206
Mailing address
470 RICHMOND AVE, MAPLEWOOD, NJ 07040-1416
(973) 763-8542
(973) 763-8562

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
154879
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA08144100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116017
NJ
01
0137837
GROUP HEALTH INCORPORATED
NJ
01
11087001
COUNCIL OF AFFORDABLE QUA
NJ
01
270120087004
QUALCARE
NJ
01
2793166000
AMERIHEALTH INSURANCE COM
NJ
01
317484
AMERIGROUP,AMERICAID
NJ
01
60027478
HORIZON NJ HEALTH
NJ
01
6338708
CIGNA HEALTH CARE
NJ
01
7796322
AETNA, US HEALTHCARE
NJ
01
8430U1
WELLCHOICE, EMPIRE HEALTH
NJ
Enumeration date
10/18/2005
Last updated
07/08/2007
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