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Individual

DR. RAJAGOPALAN SIVAPRASAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 842-5272
(732) 244-1005
Mailing address
250 WASHINGTON ST, STE C2, TOMS RIVER, NJ 08753-7575
(732) 842-5272
(732) 244-1005

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA44168
NJ

Other

Enumeration date
06/03/2006
Last updated
09/06/2016
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