Individual
DR. AMRUTHA VISWANATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0083766
MD
207R00000X
Internal Medicine Physician
MA42864
NJ
Other
Enumeration date
06/18/2006
Last updated
03/05/2019
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