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Organization

JAYANTHI PERIASAMY MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYANTHI PERIASAMY (OWNER)
(732) 563-0033
Entity
Organization

Contact information

Practice address
100 DAVIDSON AVENUE, SUITE 203, SOMERSET, NJ 08873
(732) 563-0033
(732) 563-0035
Mailing address
P O BOX 118, MARLBORO, NJ 07746

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07322300
NJ

Other

Enumeration date
04/01/2010
Last updated
06/03/2010
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