Individual
SUNDRI BALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2-11 HOPPER AVE, FAIR LAWN, NJ 07410-1144
(917) 216-6330
Mailing address
2-11 HOPPER AVE, FAIR LAWN, NJ 07410-1144
(917) 216-6330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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