Individual
MAYA RAMAGOPAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 FRENCH STREET, SUITE 2218, NEW BRUNSWICK, NJ 08903-0019
(732) 235-5201
(732) 235-7707
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08165800
NJ
2080P0214X
Pediatric Pulmonology Physician
Primary
25MA08165800
NJ
2080P0214X
Pediatric Pulmonology Physician
D58018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122491
—
NJ
05
—
894100900
—
MD
Enumeration date
06/18/2006
Last updated
04/08/2024
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