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Organization
SRI MEDICAL CENTER, INC
Active
Organization
SRI MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAILENDER KARRY MOHANRAO M.D. (M.D.)
(732) 829-8476
Entity
Organization
Contact information
Practice address
2115 MILLBURN AVE, MAPLEWOOD, NJ 07040-3724
(973) 275-0570
(973) 900-8453
Mailing address
PO BOX 4577, METUCHEN, NJ 08840-4577
(973) 275-0570
(973) 900-8453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155641
—
NJ
Enumeration date
10/19/2018
Last updated
06/05/2019
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