Individual
SUSHILA VARADARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-8000
(856) 641-7623
Mailing address
PO BOX 754, MILLVILLE, NJ 08332-0754
(856) 690-1025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25 MA03141300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5203601
—
NJ
Enumeration date
07/13/2006
Last updated
07/08/2007
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