Individual
VIDYA JULURU RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 WINDING RIDGE WAY, WARREN, NJ 07059-7156
(732) 868-0589
Mailing address
25 WINDING RIDGE WAY, WARREN, NJ 07059-7156
(732) 868-0589
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA03148100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6506305
—
NJ
Enumeration date
01/26/2007
Last updated
01/29/2010
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