Provider Demographics
NPI:1558557488
Name:KUNASEHARAN, ROGINI (DC)
Entity Type:Individual
Prefix:DR
First Name:ROGINI
Middle Name:
Last Name:KUNASEHARAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 WALTER DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-2544
Mailing Address - Country:US
Mailing Address - Phone:732-582-6843
Mailing Address - Fax:
Practice Address - Street 1:776 AMBOY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3272
Practice Address - Country:US
Practice Address - Phone:732-661-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00666500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor