Individual
DR. ANURADHA THALASILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
157 BROAD ST STE 317, RED BANK, NJ 07701-2013
(732) 530-2960
(732) 530-7446
Mailing address
157 BROAD ST STE 317, RED BANK, NJ 07701-2013
(732) 530-2960
(732) 530-7446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07672300
NJ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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