Individual
DR. RAVI DANIEL THAMBURAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
(973) 923-2441
Mailing address
1341 NORTH AVE APT 3K, ELIZABETH, NJ 07208-2674
(908) 558-9414
(973) 923-2441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB07895600
NJ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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