Individual
SMITA R. RAMANADHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 CORNWALL DRIVE, UNIT B2, EAST BRUNSWICK, NJ 08816
(617) 233-9928
Mailing address
2 CORNWALL DRIVE, #B2, EAST BRUNSWICK, NJ 08816
(617) 233-9928
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
260824
MA
208600000X
Surgery Physician
260824
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
260824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110101030A
—
MA
01
—
BP1-0026542
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
09/20/2019
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