Menon, Divya
Menon, Divya is an individual health care provider with primary practice located at 901 W Main St Suite 205 Cn5050, Freehold NJ 07728-2537. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Menon, Divya can be contacted via phone (732) 866-0800.Contact Information
Primary practice address
901 W Main St Suite 205 Cn5050
Freehold NJ 07728-2537
Phone: (732) 866-0800
Fax: (732) 463-6082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA08657500 | New Jersey |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 25MA08657500 | New Jersey |
Profile Details
| NPI number | 1730327834 |
|---|---|
| LBN Legal business name | Menon, Divya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2009 |
| Last updated | Mar 13th, 2017 - about 7 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 | 1730327834 | NPPES |
| New Jersey | MEDICAID | 0321311 |
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