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Organization

KAVITA BUPATHI MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KISHOR BUPATHI (OFFICE MANAGER)
(908) 456-0083
Entity
Organization

Contact information

Practice address
1000 WOODBRIDGE CENTER DR STE 106, WOODBRIDGE, NJ 07095-1315
(732) 326-0363
(732) 326-0364
Mailing address
2 ETHEL RD STE 206B, EDISON, NJ 08817-2839
(732) 650-0350
(732) 650-0351

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
01/11/2024
Last updated
01/11/2024
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