Individual
AMI VIJAY KALOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 PROMENADE PLACE, VOORHEES, NJ 08043-4170
(856) 266-0222
Mailing address
32 PROMENADE PL, VOORHEES, NJ 08043-4170
(856) 266-0222
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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