Sundaram, Subramoni

Sundaram, Subramoni is an sole proprietor health care provider with primary practice located at 195 Us Highway 46 Suite 101, Mine Hill NJ 07803-3163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sundaram, Subramoni can be contacted via phone (973) 361-2550.

Contact Information

Primary practice address
195 Us Highway 46 Suite 101 Mine Hill NJ 07803-3163
Fax: (973) 361-0066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03295600 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA03295600 New Jersey

Profile Details

NPI number 1811075005
LBN Legal business name Sundaram, Subramoni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811075005 NPPES
New Jersey Other 01082966001 AMERIHEALTH
New Jersey MEDICAID 1797301 AMERIHEALTH

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