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Organization

MORGANVILLE MEDICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUMALATHA MANNAVA MD (OWNER/ DOCTOR)
(732) 544-5551
Entity
Organization

Contact information

Practice address
119 AVENUE AT THE COMMONS, SUITE 2, SHREWSBURY, NJ 07702-4586
(732) 544-5551
(732) 544-5559
Mailing address
119 AVENUE AT THE COMMONS, SUITE 2, SHREWSBURY, NJ 07702-4586
(732) 544-5551
(732) 544-5559

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/02/2009
Last updated
07/27/2009
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