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Individual

ANUSHA BAPATLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016
(201) 414-5732
Mailing address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12529100
NJ
207RH0003X
Hematology & Oncology Physician
Primary
25MA12529100
NJ

Other

Enumeration date
06/12/2019
Last updated
07/01/2025
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