Individual
DR. JAYALAKSHMI GANAPATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 HEDDEN TER, NORTH ARLINGTON, NJ 07031-6109
(201) 991-6363
(201) 991-6330
Mailing address
PO BOX 1706, RUTHERFORD, NJ 07070-0706
(201) 991-6363
(201) 991-6330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03515300
NJ
208000000X
Pediatrics Physician
LT1129
SD
208D00000X
General Practice Physician
25MA03515300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32405
UHP NON PAR #
NJ
05
—
3671003
—
NJ
01
—
P00666432
RAILROAD MEDICARE
NJ
Enumeration date
08/19/2005
Last updated
04/12/2010
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