Individual
MEENA DEVALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 FRANKLIN ST, 2ND FLOOR, BELLEVILLE, NJ 07109-1134
(973) 680-1145
Mailing address
14 FRANKLIN ST, 2ND FLOOR, BELLEVILLE, NJ 07109-1134
(973) 680-1145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07125600
NJ
207V00000X
Obstetrics & Gynecology Physician
25MA07125600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8498504
—
NJ
Enumeration date
08/09/2006
Last updated
04/26/2024
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