Cumarasamy, Thayalan Krishna

Cumarasamy, Thayalan Krishna is an sole proprietor health care provider with primary practice located at 1816 Mount Holly Rd Suite 102, Burlington NJ 08016-4718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Cumarasamy, Thayalan Krishna can be contacted via phone (609) 747-0870.

Contact Information

Primary practice address
1816 Mount Holly Rd Suite 102 Burlington NJ 08016-4718
Phone: (609) 747-0870
Fax: (609) 747-0877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MA61656 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA61656 New Jersey

Profile Details

NPI number 1437292752
LBN Legal business name Cumarasamy, Thayalan Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437292752 NPPES
New Jersey Other 2149819 AETNA
New Jersey MEDICAID 6547001 AETNA

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