Individual
PRIADEEP SHUNMUGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 COOPER ST STE 207, WOODBURY, NJ 08096-4648
(856) 812-0626
Mailing address
44 COOPER ST, WOODBURY, NJ 08096-4640
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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