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Organization
NORTHFIELD INTERNAL MEDICINE, PA
Active
Organization
NORTHFIELD INTERNAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISALA V NANDURI M.D. (PRESIDENT)
(973) 328-6736
Entity
Organization
Contact information
Practice address
315 E NORTHFIELD RD, SUITE # 1D, LIVINGSTON, NJ 07039-4896
(973) 992-0658
(973) 992-6655
Mailing address
13 BLUE BIRD CT, RANDOLPH, NJ 07869-2127
(973) 992-0658
(973) 992-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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