Individual
DR. CHANGARAMKUMARATH S SIVADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02928800
NJ
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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