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Nissi Peram

NPI Registration Record

Provider / OrganizationNPIDate Certified
NISSI PERAM13266402932020-11-14
Entity TypeIndividual
Provider Name Nissi Peram
Practice Office Address407 GLENN AVE
EGG HARBOR TWP, NJ US
Practice Office Telephone7035641639
Mailing Address39 EVERGREEN AVE
EGG HARBOR TWP, NJ 082347246 US
Business Telephone6096657380
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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