Thamman, Prem
Thamman, Prem is an sole proprietor health care provider with primary practice located at 361 Garibaldi Ave , Lodi NJ 07644-3709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Thamman, Prem can be contacted via phone (973) 773-3556.Contact Information
Primary practice address
361 Garibaldi Ave
Lodi NJ 07644-3709
Phone: (973) 773-3556
Fax: (973) 773-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25641 | New Jersey |
Profile Details
| NPI number | 1609837905 |
|---|---|
| LBN Legal business name | Thamman, Prem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 13th, 2010 - about 15 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 | 1609837905 | NPPES |
| New Jersey | MEDICAID | 1384400 |
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