Pendem, Suresh
Pendem, Suresh is an sole proprietor health care provider with primary practice located at 2000 Cornwall Rd Ste 500A , Monmouth Junction NJ 08852-2444. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pendem, Suresh can be contacted via phone (609) 721-4993.Contact Information
Primary practice address
2000 Cornwall Rd Ste 500A
Monmouth Junction NJ 08852-2444
Phone: (609) 721-4993
Fax: (609) 900-2983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1326384975 |
|---|---|
| LBN Legal business name | Pendem, Suresh |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2012 |
| Last updated | Nov 7th, 2023 - about last year |
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 | 1326384975 | NPPES |
| New York | Other | 031789 | PT LICENSE |
| New York | Other | 40QA02161300 | PT LICENSE |
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