Individual
JEAN KAMALA MALLIPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 579-8321
(973) 383-4572
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12886100
NJ
208M00000X
Hospitalist Physician
Primary
25MA12886100
NJ
Other
Enumeration date
04/05/2022
Last updated
01/16/2026
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