SURESH PANDANTHARA

FREEHOLD, NJ
NPI1205383577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00665300)
Enumeration Date2016-09-05
Last Update Date2021-11-02
Business Address
SURESH PANDANTHARA Nurse Practitioner
901 W MAIN ST STE 160
FREEHOLD, NJ 07728-2537
Phone number: 732-577-0600
Mailing Address
SURESH PANDANTHARA Nurse Practitioner
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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