Individual
SHANTHI REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 ETHEL RD, EDISON, NJ 08817-2249
(732) 248-0088
Mailing address
16 ETHEL RD, EDISON, NJ 08817-2249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA72713
NJ
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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