Individual
DR. KALLAHALLI V VISWANATHA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
5 KINZEL LN, WEST ORANGE, NJ 07052-2171
(973) 669-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA38455
NJ
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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