Individual
HARITHA CHITYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BRICK RD, MARLTON, NJ 08053-2177
(856) 355-6000
Mailing address
PO BOX 33058, PALM BEACH GARDENS, FL 33420-3058
(561) 799-3552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07683500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050075630
RR MEDICARE
NJ
05
—
8949409
—
NJ
Enumeration date
07/04/2006
Last updated
04/08/2009
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