Individual
DR. SUMAN LATA JALAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 299-5463
Mailing address
17 IRONWOOD DR, MORRIS PLAINS, NJ 07950-3326
(973) 299-5463
(973) 971-0516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03995800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7436203
—
NJ
Enumeration date
04/26/2006
Last updated
07/08/2007
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