Individual
DR. UMA SUNDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1541 ROUTE 88 W, SUITE B, BRICK, NJ 08724-2373
(732) 458-5000
(732) 458-6265
Mailing address
2101 FRIAR CT, WALL TOWNSHIP, NJ 07719-9744
(732) 974-2834
(732) 974-2843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA04994700
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA04994700
NJ
Other
Enumeration date
05/30/2006
Last updated
02/10/2010
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