Individual
SMITHA AYODHYARAM GUBBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 UNION AVE, BRIDGEWATER INTERNAL MEDICINE SUITE E, BRIDGEWATER, NJ 08807
(908) 685-1818
(908) 685-8225
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07648800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025003
—
NJ
Enumeration date
10/06/2006
Last updated
10/07/2016
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