Individual
NISHA IYER KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 BOWMAN DR STE E385 BACK, VOORHEES, NJ 08043
(856) 840-4535
(856) 762-2853
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUREL, NJ 08054
(856) 291-6818
(856) 291-6819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA9273000
NJ
208M00000X
Hospitalist Physician
25MA09273000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377171
—
NJ
Enumeration date
02/13/2013
Last updated
10/01/2024
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