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1457445033
REVATHI SHANMUGHAM
PARAMUS, NJ
NPI
1457445033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NJ 25MA08398000)
Enumeration Date
2006-10-03
Last Update Date
2018-07-20
Business Address
DR. REVATHI SHANMUGHAM M.D.
40 EISENHOVER DRIVE
PARAMUS, NJ 07652
Phone number: 352-686-2972
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Mailing Address
DR. REVATHI SHANMUGHAM M.D.
123 ABBIE CT 40 EISENHOWER DRIVE
PARAMUS, NJ 07652
Phone number: 352-238-5670
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