Individual
SREEDEVI BOLISETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 566-6845
(856) 566-6906
Mailing address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 566-6845
(856) 566-6906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07794800
NJ
207R00000X
Internal Medicine Physician
MD425310
PA
208M00000X
Hospitalist Physician
Primary
25MA07794800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067156
—
NJ
05
—
006715600
—
PA
01
—
P00813729
RAILROAD MEDICARE
NJ
Enumeration date
07/05/2006
Last updated
10/30/2014
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