Organization
SRISAI GOWDA MD LLC
Active
Other names
SHORE PSYCHIATRIC EVLUATION AND COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRISAI GOWDA M.D. (OWNER)
(609) 927-1030
Entity
Organization
Contact information
Practice address
2106 NEW ROAD, D-8, LINWOOD, NJ 08221
(609) 927-1030
(609) 927-9985
Mailing address
2106 NEW ROAD, D-8, LINWOOD, NJ 08221
(609) 927-1030
(609) 927-9985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06553300
NJ
Other
Enumeration date
03/08/2007
Last updated
12/13/2019
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