Individual
LATHA SURAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3258 BRIDGE AVE, POINT PLEASANT BORO, NJ 08742-3459
(732) 852-7392
Mailing address
28 TALL OAKS DR, MONROE, NJ 08831-2417
(732) 251-1887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02938500
NJ
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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