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Dr. Suresh Rajamanickam, MD
Specialist in Wellington, Florida
NPI 1356417919

Suresh Rajamanickam is a Specialist based in Austin, FL. Suresh Rajamanickam practices in Wellington, FL and has the professional credentials of MD. The NPI Number for Suresh Rajamanickam is 1356417919 and holds a License No. S9977 (Florida).

The current practice location address for Suresh Rajamanickam is 1395 S State Road 7, Wellington, FL and can be reached out via phone at 561-793-3363 and via fax at 561-793-3365.

Location: 1395 S State Road 7, Wellington, FL, 78731-4280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356417919
Provider Name
Suresh Rajamanickam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1395 S State Road 7, Wellington, FL, 78731-4280
Phone Number
561-793-3363
Fax Number
561-793-3365
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
264775300 05 FL
institution
Provider Business Practice Location Address Details
Address
1395 S State Road 7
City
Wellington
State
Florida
Zip
33414-9325
Phone Number
561-793-3363
Fax Number
561-793-3365
person
Provider Business Mailing Address Details
Address
1395 S State Road 7
City
Wellington
State
Florida
Zip
33414-9325
Phone Number
561-793-3363
Fax Number
561-793-3365
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
DR.0065508 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
S9977 (Texas)
Definition
Definition to come...
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