Individual
ISWARYA MANIVANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1942
(732) 828-3000
Mailing address
352 CYNTHIA LN, BRIDGEWATER, NJ 08807-5687
(908) 803-3429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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