Individual
DR. KORRAPATI S REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06935100
NJ
207R00000X
Internal Medicine Physician
25MA06935100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8167605
—
NJ
Enumeration date
09/12/2005
Last updated
02/25/2008
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