Individual
BUVANESWARI SRIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,
Contact information
Practice address
27 PINCKNEY RD, RED BANK, NJ 07701-2179
(732) 460-9840
(732) 460-9848
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08480600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189537
—
NJ
01
—
60057682
HORIZON NJ HEALTH
NJ
Enumeration date
06/27/2007
Last updated
12/31/2013
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