Individual
RATHAMANI MUTHUSAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
25 ANDREW AVE, OAKLAND, NJ 07436-3819
(201) 417-9774
Mailing address
25 ANDREW AVE, OAKLAND, NJ 07436-3819
(201) 417-9774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01339000
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01339000
NJ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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