Individual
DR. SOWMINI KOMMIREDDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 STATE ROUTE 34, SUITE V, MATAWAN, NJ 07747-3469
(732) 290-1063
(732) 290-1384
Mailing address
1070 STATE ROUTE 34, SUITE V, MATAWAN, NJ 07747-3469
(732) 290-1063
(732) 290-1384
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25MA073809
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9072802
—
NJ
Enumeration date
09/17/2006
Last updated
07/08/2007
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