Individual
HARSHA JONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09714400
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA09714400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04289387
—
NY
05
—
0479748
—
NJ
Enumeration date
06/08/2009
Last updated
07/18/2016
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