Individual
MR. KOTESWARARAO PANUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 SKYLINE DR, WATCHUNG, NJ 07069-6422
(908) 753-1653
(908) 709-0596
Mailing address
115 SKYLINE DR, WATCHUNG, NJ 07069-6422
(908) 753-1653
(908) 709-0596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02027400
NJ
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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