Individual
KANNAN SIVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 GROVE AVE STE A, VERONA, NJ 07044-1731
(973) 239-2600
(833) 495-1921
Mailing address
271 GROVE AVE STE E, VERONA, NJ 07044-1730
(973) 559-3700
(833) 484-1686
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA08777500
NJ
Other
Enumeration date
06/17/2009
Last updated
04/17/2025
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