Moody, Rumantha
Moody, Rumantha is an sole proprietor health care provider with primary practice located at 1 Lower Main Street , South Amboy NJ 08879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Moody, Rumantha can be contacted via phone (732) 727-2555.Contact Information
Primary practice address
1 Lower Main Street
South Amboy NJ 08879
Phone: (732) 727-2555
Fax: (732) 727-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 32707 | New Jersey |
Profile Details
| NPI number | 1891820254 |
|---|---|
| LBN Legal business name | Moody, Rumantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891820254 | NPPES |
| New Jersey | MEDICAID | 1074504 |
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