Individual
DR. THIL YOGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN STREET, PATERSON, NJ 07503
(973) 754-2320
(973) 754-2381
Mailing address
703 MAIN STREET, PATERSON, NJ 07503
(973) 754-2320
(973) 754-2381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA03694800
NJ
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MA03694800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805704
AETNA
NJ
01
—
10984
AMERIGROUP AMERICAID
NJ
05
—
3124100
—
NJ
01
—
PS266
OXFORD HEALTH
NJ
Enumeration date
07/13/2006
Last updated
02/11/2015
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