Individual
DR. PADMAVATHY KURRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15-01 BROADWAY, SUITE 10-B, FAIR LAWN, NJ 07410-6003
(201) 794-7733
(201) 794-6039
Mailing address
15-01 BROADWAY, SUITE 10-B, FAIR LAWN, NJ 07410-6003
(201) 794-7733
(201) 794-6039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA05120200
NJ
2084P0805X
Geriatric Psychiatry Physician
Primary
25MA05120200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129208
—
NJ
Enumeration date
08/15/2006
Last updated
09/11/2025
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