Academic Icu Doc, Pa

LBN: Academic Icu Doc, Pa
Academic Icu Doc, Pa is an health care organization with primary practice located at 5 Rushton Ct , West Windsor NJ 08550-3320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as the primary health care specialty. Academic Icu Doc, Pa can be contacted via phone (908) 464-3636, or through Rajaram, Sri Sujanthy via phone (908) 464-3636.

Contact Information

Primary practice address
5 Rushton Ct West Windsor NJ 08550-3320
Phone: (908) 464-3636
Fax: (908) 464-6711
Website:
Map and Directions
Authorized official contact:
Name: Rajaram, Sri Sujanthy Doctor of Medicine (MD)
Phone: (908) 464-3636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X

Profile Details

NPI number 1558730705
LBN Legal business name Academic Icu Doc, Pa
DBA Doing business as
Authorized official Rajaram, Sri Sujanthy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2015
Last updated Feb 17th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558730705 NPPES
New Jersey Other 0450016696 STATE ID

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