Individual
MRS. NAGARATHNA PRABHURAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2864 RTE 27, SUITE A, NORTH BRUNSWICK, NJ 08902
(732) 940-4134
(732) 960-3720
Mailing address
27 CRESTVIEW DR, KENDALL PARK, NJ 08824
(732) 331-3046
(732) 960-3720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08471400
NJ
Other
Enumeration date
12/03/2008
Last updated
12/11/2013
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