Individual
DR. PILLUTLA VENKATA SASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BENTLEY AVE, JERSEY CITY, NJ 07304-1702
(201) 433-5678
(201) 433-6502
Mailing address
100 BENTLEY AVE, JERSEY CITY, NJ 07304-1702
(201) 433-5678
(201) 433-6502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
029198
NJ
207R00000X
Internal Medicine Physician
Primary
25MA02919800
NJ
Other
Enumeration date
03/02/2006
Last updated
03/02/2010
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