Provider Demographics
NPI:1427595099
Name:HARI GNANASEKERAM, PC
Entity Type:Organization
Organization Name:HARI GNANASEKERAM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-280-6000
Mailing Address - Street 1:2601 BELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-4167
Mailing Address - Country:US
Mailing Address - Phone:732-280-6000
Mailing Address - Fax:
Practice Address - Street 1:405 ARMSTRONG AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-2629
Practice Address - Country:US
Practice Address - Phone:732-280-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty