Individual
AISHWARYA SURESHBABU KODOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 POCONO ROAD, SAINT CLARE'S HEALTH, GME OFFICE-2ND FLOOR, C-WING, DENVILLE, NJ 07834
(973) 983-5583
Mailing address
25 POCONO ROAD, SAINT CLARE'S HEALTH, GME OFFICE-2ND FLOOR, C-WING, DENVILLE, NJ 07834
(973) 365-4661
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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