Most Relevant Information
Provider Data
| NPI Number: | 1003203464 |
| Provider Name: | CYNTHIA N EDIRISURIYA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2015 |
| Last Updated: | 07/15/2021 |
Provider Practice Location
100 K JOHNSON BLVD. N.
2ND FLOOR
BORDENTOWN
NJ
085052275
Practice Location Phone/Fax
| Phone: | 6095288884 |
| Fax: | 6095288886 |
Provider Mailing Location
100 K JOHNSON BLVD. N.
2ND FLOOR
BORDENTOWN
NJ
085052275
Provider Mailing Phone/Fax
| Phone: | 6095288884 |
| Fax: | 6095288886 |