Individual
DEEPTHI SUBRAMANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1605 E EVESHAM RD STE 100A, VOORHEES, NJ 08043-1437
(856) 741-7100
(856) 424-2629
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 741-7100
(856) 424-2629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09502800
NJ
207R00000X
Internal Medicine Physician
MT190503
PA
Other
Enumeration date
06/26/2008
Last updated
12/02/2022
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