Individual
SHYAM NORUTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
140 BERGEN STREET, NEWARK, NJ 09103
(973) 972-8092
Mailing address
136 W HAZELWOOD AVE, RAHWAY, NJ 07065-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NJ00013300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00013300
NJ
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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