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Individual

DR. RATNA REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
125 PATERSON ST, SUITE 6100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7337
Mailing address
66 W GILBERT ST, 2ND FLOOR, RED BANK, NJ 07701
(732) 212-0051

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25MA07884700
NJ
2084N0400X
Neurology Physician
Primary
N5966
TX
2084N0600X
Clinical Neurophysiology Physician
25MA07884700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101532
NJ
01
22-3013521
TAX ID #
NJ
01
P00642639
RR MCR PTAN
NJ
Enumeration date
09/20/2006
Last updated
06/27/2016
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