Individual
MADHAVI L ANNAVAJJULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-1645
(973) 895-6601
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA074767
NJ
Other
Enumeration date
03/20/2007
Last updated
01/29/2016
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