Organization
ADVANCED INFECTIOUS DISEASES CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARUMATHI RATHNAKUMAR M.D., (PRESIDENT OF THE COMPANY)
(732) 230-2828
Entity
Organization
Contact information
Practice address
98 JAMES ST STE 200, EDISON, NJ 08820-3902
(732) 230-2828
(732) 230-2479
Mailing address
PO BOX 305, ISELIN, NJ 08830-0305
(732) 230-2828
(732) 230-2479
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA079673
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146013
—
NJ
Enumeration date
04/14/2009
Last updated
10/20/2014
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