TELATHA A SURUJNATH

LAKEWOOD, NJ
NPI1588009047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ00415700)
Enumeration Date2013-05-09
Last Update Date2013-05-09
Business Address
-- TELATHA A SURUJNATH NP
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144
Mailing Address
-- TELATHA A SURUJNATH NP
1771 MADISON AVE
LAKEWOOD, NJ 08701
Phone number: 732-364-2144