BALAJI SUTHARSANAM

HACKENSACK, NJ
NPI1225486905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics Neonatal-Perinatal Medicine
(Licence: NJ  25MA10631300)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NJ  S94800710005902)
Enumeration Date2016-06-02
Last Update Date2019-09-03
Business Address
DR. BALAJI SUTHARSANAM M.D.
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
Mailing Address
DR. BALAJI SUTHARSANAM M.D.
60 VILLAGE RD
KENDALL PARK, NJ 08824-1546
Phone number: 908-616-3097