Individual
HARSHILA KAKKILAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
499 BECKETT RD, SUITE 202, LOGAN TOWNSHIP, NJ 08085-1766
(856) 241-2090
(856) 241-2099
Mailing address
499 BECKETT RD, SUITE 202, LOGAN TOWNSHIP, NJ 08085-1766
(856) 241-2090
(856) 241-2099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08271600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151955
—
NJ
Enumeration date
08/23/2007
Last updated
10/02/2009
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