Provider Demographics
NPI:1487697744
Name:ARUNA, PASALAI N (MD)
Entity type:Individual
Prefix:DR
First Name:PASALAI
Middle Name:N
Last Name:ARUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-2110
Mailing Address - Country:US
Mailing Address - Phone:732-738-9090
Mailing Address - Fax:732-738-9039
Practice Address - Street 1:2124 OAK TREE RD FL 2
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1089
Practice Address - Country:US
Practice Address - Phone:732-205-1311
Practice Address - Fax:732-205-9648
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03225600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC54255Medicare UPIN