Individual
NEELIMA ATYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8880
(908) 277-8796
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8880
(908) 277-8796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0167591
NY
363A00000X
Physician Assistant
Primary
25MP00472100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
NA
—
Enumeration date
09/17/2013
Last updated
05/16/2019
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