Individual
DR. PRABHAKAR REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
279 ROUTE 46, DENVILLE, NJ 07834-1243
(973) 625-5300
Mailing address
279 ROUTE 46, DENVILLE, NJ 07834-1243
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29VI523000
NJ
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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