Individual
DR. PURNIMA VALLABHANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3084 STATE ROUTE 27, SUITE 1, KENDALL PARK, NJ 08824-1657
(732) 821-0873
(732) 297-7356
Mailing address
32 N MAIN ST, MARLBORO, NJ 07746-1429
(732) 462-4100
(732) 462-4549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07524200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9113703
—
NJ
Enumeration date
07/11/2005
Last updated
05/21/2014
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