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Organization
GOPI MUKKAVILLI, MD
Active
Organization
GOPI MUKKAVILLI, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE NAOMI (MANAGER)
(609) 482-3701
Entity
Organization
Contact information
Practice address
4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
(609) 482-3701
(609) 482-3702
Mailing address
4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
(609) 482-3701
(609) 482-3702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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