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Individual

DR. KAMALAKAR R. AYYAGARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3437
(973) 761-8500
(973) 761-8910
Mailing address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3437
(973) 761-8500
(973) 761-8910

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA31086
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0432806
NJ
Enumeration date
08/17/2005
Last updated
11/12/2013
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