Organization
MED PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENUKAMBA GUBBI (DIRECTOR)
(732) 823-7373
Entity
Organization
Contact information
Practice address
12 BERNART CT, HILLSBOROUGH, NJ 08844-8703
(732) 823-7373
Mailing address
12 BERNART CT, HILLSBOROUGH, NJ 08844-8703
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MA084978
NJ
Other
Enumeration date
05/03/2007
Last updated
04/01/2016
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