Cumarasamy, Thayalan Krishna
Cumarasamy, Thayalan Krishna is an sole proprietor health care provider with primary practice located at 1816 Mount Holly Rd Suite 102, Burlington NJ 08016-4718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Cumarasamy, Thayalan Krishna can be contacted via phone (609) 747-0870.Contact Information
Primary practice address
1816 Mount Holly Rd Suite 102
Burlington NJ 08016-4718
Phone: (609) 747-0870
Fax: (609) 747-0877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | MA61656 | New Jersey |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA61656 | New Jersey |
Profile Details
| NPI number | 1437292752 |
|---|---|
| LBN Legal business name | Cumarasamy, Thayalan Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437292752 | NPPES |
| New Jersey | Other | 2149819 | AETNA |
| New Jersey | MEDICAID | 6547001 | AETNA |
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