Individual
MS. KOTHAI PERUMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 STONE ST, RAHWAY, NJ 07065-2742
(732) 381-4200
Mailing address
5 CAMERON RD, PISCATAWAY, NJ 08854-4201
(201) 407-2087
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ14970400
NJ
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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