Individual
DR. PONNUDURAI NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 YOUR HOST LN, CINNAMINSON, NJ 08077-4364
(856) 303-0898
Mailing address
106 YOUR HOST LN, CINNAMINSON, NJ 08077-4364
(856) 303-0898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA03696700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944409
—
NJ
Enumeration date
12/19/2008
Last updated
12/19/2008
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