Individual
DR. PRIYA SIVARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 ALPS RD, WAYNE, NJ 07470-3635
(973) 628-8500
(973) 628-7944
Mailing address
1 CANDLEWICK DR, TOWACO, NJ 07082-1259
(975) 588-4036
(973) 628-7944
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200501484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902165
—
NC
05
—
N01480
—
SC
Enumeration date
09/29/2005
Last updated
02/25/2014
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