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1760503205
RAVI DANIEL THAMBURAJ
NEWARK, NJ
NPI
1760503205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25MB07895600)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
Dr. RAVI DANIEL THAMBURAJ DO
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7000
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Mailing Address
Dr. RAVI DANIEL THAMBURAJ DO
1341 NORTH AVE APT 3K
ELIZABETH, NJ 07208-2674
Phone number: 908-558-9414
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