Individual
LOGITHYA SUBENDRA-KONINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2900
(908) 704-3764
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
02/11/2022
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