Individual
DR. MEENA PRIYA BAGAVATHY PERUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
977 LIVINGSTON AVE, NORTH BRUNSWICK, NJ 08902-1843
(732) 418-9800
Mailing address
503 GREEN HOLLOW DR, ISELIN, NJ 08830-2926
(551) 263-5837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02985100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2023
Last updated
08/22/2023
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