Individual
DR. SHASHIDHAR SADDA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 SPARTA AVE, SUITE 220, SPARTA, NJ 07871-1777
(973) 940-8100
(973) 729-7235
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MA07934600
NJ
Other
Enumeration date
11/04/2005
Last updated
01/11/2019
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