Individual
NEETHU GOPISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 JACK MARTIN BLVD STE D1, BRICK, NJ 08724-3063
(732) 458-5854
(732) 458-8012
Mailing address
210 JACK MARTIN BLVD STE D1, BRICK, NJ 08724-3063
(732) 458-5854
(732) 458-8012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT212548
PA
207RN0300X
Nephrology Physician
Primary
25MA11355500
NJ
Other
Enumeration date
04/27/2017
Last updated
09/06/2022
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