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NPI 1285694794

NPI 1285694794 : KUMARASWAMY KAMMARDI RAMASWAMY MD : WATCHUNG, NJ

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General NPI Number Information
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    NPI Number           |    1285694794
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    Entity Type          |    Individual 
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    Provider Name        |    KUMARASWAMY KAMMARDI RAMASWAMY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/27/2006
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    Last Update Date     |    12/07/2010
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Provider Practice Location Address
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    Address Line         |    210 MOUNTAIN BLVD 
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    City                 |    WATCHUNG
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    State                |    NJ
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    Zip                  |    07069
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    Country              |    US
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    Telephone            |    908-757-1000
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    Fax                  |    908-757-0564
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Provider Business Mailing Address
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    Address Line         |    1 DOYLE CT 
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    City                 |    HILLSBOROUGH
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    State                |    NJ
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    Zip                  |    08844-4092
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    Country              |    US
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    Telephone            |    908-757-1000
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    Fax                  |    908-757-0564
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MA07607900
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    License Number State |    NJ
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