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Individual

RAGHUVEER ANNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
461 CORLISS AVE, PHILLIPSBURG, NJ 08865-1501
(908) 859-5872
(908) 859-1747
Mailing address
461 CORLISS AVE, PHILLIPSBURG, NJ 08865-1501
(908) 859-5872
(908) 859-1747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05360800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0471500
NJ
01
223435441
HORIZON BLUE CROSS BLUE S
NJ
Enumeration date
09/27/2006
Last updated
07/08/2007
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