Organization
KUCHIPUDI BAPINEEDU, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAPINEEDU KUCHIPUDI M.D. (SOLE PROPIETER)
(201) 796-4848
Entity
Organization
Contact information
Practice address
15-01 BROADWAY, STE. #22, FAIR LAWN, NJ 07410-6003
(201) 796-4848
(201) 797-7992
Mailing address
15-01 BROADWAY, STE. #22, FAIR LAWN, NJ 07410-6003
(201) 796-4848
(201) 797-7992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA34591
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723500
—
NJ
Enumeration date
03/02/2009
Last updated
05/13/2010
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