Individual
DR. HARI SIVA GURUNADHA TUNUGUNTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7774
(732) 235-6042
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA08559400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0204269
—
NJ
01
—
P00871521
RR MCR PTAN
NJ
Enumeration date
05/21/2007
Last updated
01/13/2011
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