Individual
DR. JALADURGA PRABHAKARARAO AMULURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
385 PROSPECT AVE, HACKENSACK, NJ 07601-2570
(201) 487-1390
Mailing address
15 POST LN, LIVINGSTON, NJ 07039-4906
(973) 992-2226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03361100
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA03361100
NJ
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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