person
Telatha A Surujnath, NP
Psychiatric/Mental Health Nurse Practitioner in Lakewood, New Jersey
NPI 1588009047

Telatha A Surujnath is a Psychiatric/Mental Health Nurse Practitioner based in Lakewood, NJ and is specialized in Psychiatric/Mental Health. Telatha A Surujnath practices in Lakewood, NJ and has the professional credentials of NP. The NPI Number for Telatha A Surujnath is 1588009047 and holds a License No. 26NJ00415700 (New Jersey).

The current practice location address for Telatha A Surujnath is 1771 Madison Ave, Lakewood, NJ and can be reached out via phone at 732-364-2144 and via fax at 732-364-3559.

Location: 1771 Madison Ave, Lakewood, NJ, 08701
person
Provider Profile Details
NPI Number
1588009047
Provider Name
Telatha A Surujnath
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1771 Madison Ave, Lakewood, NJ, 08701
Phone Number
732-364-2144
Fax Number
732-364-3559
Provider Enumeration Date
05/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1771 Madison Ave
City
State
Zip
08701
Phone Number
732-364-2144
Fax Number
732-364-3559
person
Provider Business Mailing Address Details
Address
1771 Madison Ave
City
State
Zip
08701
Phone Number
732-364-2144
Fax Number
732-364-3559
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26NJ00415700 (New Jersey)
Definition
Definition to come...
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