Individual
DR. MANORAMA GUNTUNUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7821 BERGENLINE AVE, NORTH BERGEN, NJ 07047-4942
(201) 869-0030
(201) 869-0020
Mailing address
5 CHAGALL CT, EAST WINDSOR, NJ 08520-2989
(609) 371-5044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20520
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016386
AMERIGROUP AND HEALTH NET
NJ
01
—
1086983
HORIZON HEALTH/MERCY
NJ
01
—
20520
DELTA
NJ
01
—
223354
CIGNA HMO
NJ
05
—
7794509
—
NJ
01
—
985772
UNITED CONCARDIA
NJ
01
—
AETNA
30536
NJ
Enumeration date
10/14/2005
Last updated
07/08/2007
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