Individual
DR. SIVASHANKAR SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 S 2ND AVE, SUITE A, GALLOWAY, NJ 08205-9542
(609) 748-7300
(609) 748-7300
Mailing address
741 S 2ND AVE, SUITE A, GALLOWAY, NJ 08205-9542
(609) 748-7300
(609) 748-7300
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA09577100
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA09577100
NJ
Other
Enumeration date
10/01/2008
Last updated
10/03/2018
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