Healthcare Provider Details

I. General information

NPI: 1659958072
Provider Name (Legal Business Name): AARTHI SELVAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 BEAUVOIR AVE
SUMMIT NJ
07901-3533
US

IV. Provider business mailing address

465 SOUTH ST STE 103
MORRISTOWN NJ
07960-6442
US

V. Phone/Fax

Practice location:
  • Phone: 908-522-6414
  • Fax: 908-598-2337
Mailing address:
  • Phone: 973-829-4080
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA12354000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: