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Individual

DR. SHAILA BOKKALA PINNINTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D O

Contact information

Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-1000
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MB08408700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3229505
NJ
Enumeration date
07/01/2008
Last updated
11/29/2023
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