Individual
NARASIMHALOO VENUGOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 696-0108
(856) 696-0188
Mailing address
76 S STATE ST, VINELAND, NJ 08360-4851
(856) 205-1112
(856) 205-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02825000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2875501
—
NJ
Enumeration date
12/04/2006
Last updated
09/28/2016
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