Individual
DR. SUPRAJA CHAKRAVARTHI BADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
32 CLINTON ST, PATERSON, NJ 07522-1775
(973) 790-6594
Mailing address
5302 RIVERSIDE STATION BLVD, SECAUCUS, NJ 07094-4453
(201) 478-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02859900
NJ
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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