Organization
UMDNJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDRIKA C JEYAMOHAN APN-C (ADVANCE PRACTICE NURSE)
(732) 235-9645
Entity
Organization
Contact information
Practice address
195 LITTLE ALBANY ST, ROOM 1124, NEW BRUNSWICK, NJ 08901-1914
(732) 235-9645
(732) 235-3299
Mailing address
195 LITTLE ALBANY ST, ROOM 1124, NEW BRUNSWICK, NJ 08901-1914
(732) 235-9645
(732) 235-3299
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
26NJ00291400
NJ
282N00000X
General Acute Care Hospital
26NJ00291400
NJ
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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