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Individual

SIDDESH GOPALAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2840 MORRIS AVE, UNION, NJ 07083-4851
(888) 244-5373
Mailing address
2840 MORRIS AVE, UNION, NJ 07083-4851
(888) 244-5373

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
182572
CA
2084P0800X
Psychiatry Physician
25MA12442600
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA12442600
NJ

Other

Enumeration date
04/16/2019
Last updated
10/23/2024
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