Individual
DR. RAGHUNANDAN SUNDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
817 RAHWAY AVE, ELIZABETH, NJ 07202-2212
(908) 355-7365
(908) 355-2452
Mailing address
7 RENEE CT, EDISON, NJ 08820-3634
(732) 662-1403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07433200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4544682
—
MI
Enumeration date
11/16/2006
Last updated
07/08/2007
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