Individual
DR. SUBRAMONI SUNDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 US HIGHWAY 46, SUITE 101, MINE HILL, NJ 07803-3163
(973) 361-2550
(973) 361-0066
Mailing address
195 US HIGHWAY 46, SUITE 101, MINE HILL, NJ 07803-3163
(973) 361-2550
(973) 361-0066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03295600
NJ
207RN0300X
Nephrology Physician
Primary
25MA03295600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01082966001
AMERIHEALTH
NJ
05
—
1797301
—
NJ
Enumeration date
11/02/2006
Last updated
09/11/2025
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