Purnima Shivaram

NPI #1730755786 in Kinnelon, New Jersey

Provider Information

NPI Number: 1730755786
Entity Type: Individual
Name: Purnima Shivaram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jun 1, 2021
Last Updated: Jun 1, 2021

Practice Location

Address: 8 ALLEN DR
City: Kinnelon
State: New Jersey
ZIP Code: 07405-2924
Phone: (973) 519-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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