Individual
KRISHNANJALI R JONNALAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2431
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10673500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2016
Last updated
03/06/2020
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