Organization
C. E. PASUPATHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY J GANDY (BILLING MANAGER)
(856) 451-9395
Entity
Organization
Contact information
Practice address
2950 COLLEGE DR, SUITE 1B, VINELAND, NJ 08360-6933
(856) 691-7588
(856) 691-0433
Mailing address
2950 COLLEGE DR, SUITE 1B, VINELAND, NJ 08360-6933
(856) 691-7588
(856) 691-0433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03258300
NJ
Other
Enumeration date
09/14/2007
Last updated
04/06/2010
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