Individual
DR. RAMAKUMAR VENKATA RAYASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
207 S 2ND ST, MORRIS PARK, PHILLIPSBURG, NJ 08865-1807
(908) 454-2279
Mailing address
207 S 2ND ST, MORRIS PARK, PHILLIPSBURG, NJ 08865-1807
(908) 454-2279
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MA03805100
NJ
207YX0602X
Otolaryngic Allergy Physician
MA03805100
NJ
Other
Enumeration date
10/16/2005
Last updated
08/08/2012
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