Individual
DR. CHANGARAMKUMARATH S SIVADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 S HARRISON ST, SUITE 405, EAST ORANGE, NJ 07018-1959
(973) 678-8839
(973) 678-3171
Mailing address
240 S HARRISON ST, SUITE 405, EAST ORANGE, NJ 07018-1959
(973) 678-8839
(973) 678-3171
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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