Individual
SUNITHA CHITRANJALI MAWILMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4001 GRENWICH LN, MOUNT LAUREL, NJ 08054-6723
(857) 540-2502
Mailing address
4001 GRENWICH LN, MOUNT LAUREL, NJ 08054-6723
(857) 540-2502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601800249
VA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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