Individual
KUNDANA THIMMANAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NORTHFIELD AVE, WEST ORANGE, NJ 07052-4795
(973) 325-2103
Mailing address
111 NORTHFIELD AVE, WEST ORANGE, NJ 07052-4795
(973) 325-2103
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA11899700
NJ
Other
Enumeration date
07/11/2019
Last updated
06/24/2024
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