Individual
PRABHAVATHI VENKATA GUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
570 LEE STREET, RARITAN BAY MENTAL HEALTH CENTER, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Mailing address
570 LEE STREET, RARITAN BAY MENTAL HEALTH CENTER, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03803500
NJ
Other
Enumeration date
03/22/2007
Last updated
07/10/2012
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