Individual
LALITHA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05050300
NJ
207R00000X
Internal Medicine Physician
25MA05050300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3232603
—
NJ
01
—
P00642031
RAILROAD MEDICARE
NJ
Enumeration date
08/29/2005
Last updated
12/15/2008
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