Individual
MRS. BHAVANA REBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 MAY ST, SUITE F, EDISON, NJ 08837-3266
(732) 738-6232
Mailing address
45 HUNT DR, PISCATAWAY, NJ 08854-6270
(732) 463-0536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07822300
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA07822300
NJ
Other
Enumeration date
05/15/2006
Last updated
06/09/2015
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