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Individual

DR. MALAYANDI RAJAMANICKAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
ME95507
FL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MA029277
NJ

Other

Enumeration date
05/19/2006
Last updated
11/04/2015
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