Dr. Palanisamy S Sundaram I, M.D
Pediatrics in Irvington, NJ. Individual provider (NPI-1).
NPI number1114010477
StatusActive
Last updated in NPPESAug 28, 2009
Details
- NPI
- 1114010477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Palanisamy S Sundaram I
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2006
- Last updated
- Aug 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 25MA02857500 | NJ | Yes |
Practice location
860 Grove StIrvington, NJ 07111-3601
Phone 973-399-8650 · Fax 973-533-4470
Mailing address
860 Grove StIrvington, NJ 07111-3601
Phone 973-399-8650 · Fax 973-533-4470
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