Ganesan, Azhagasundaram
Ganesan, Azhagasundaram is an sole proprietor health care provider with primary practice located at 534 Clifton Ave , Clifton NJ 07011-3230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ganesan, Azhagasundaram can be contacted via phone (976) 365-1330.Contact Information
Primary practice address
534 Clifton Ave
Clifton NJ 07011-3230
Phone: (976) 365-1330
Fax: (973) 365-2410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 30225 | New Jersey |
Profile Details
| NPI number | 1285722736 |
|---|---|
| LBN Legal business name | Ganesan, Azhagasundaram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285722736 | NPPES |
| New Jersey | MEDICAID | 2419301 |
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