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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730327834 NPPES
New Jersey MEDICAID 0321311

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