Individual
TIMOTHY JAYASUNDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 E 38TH ST, NEW YORK, NY 10016-2607
(212) 679-4488
(212) 684-4841
Mailing address
148 E 38TH ST, NEW YORK, NY 10016-2607
(212) 679-4488
(212) 684-4841
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-060847-L
PA
Other
Enumeration date
08/10/2006
Last updated
04/05/2013
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