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Individual

APARNA REPAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, MEB 478, NEW BRUNSWICK, NJ 08901-1928
(732) 235-6105
Mailing address
39 GINGER DR, EDISON, NJ 08837-3081
(732) 235-6105

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
094863
OH
207RG0100X
Gastroenterology Physician
Primary
25MA08993800
NJ
207RG0100X
Gastroenterology Physician
4301088662
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0276391
NJ
01
P01035499
RR MCR
NJ
Enumeration date
03/30/2007
Last updated
06/21/2012
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