Individual
DR. VASUNDHARA G UNTAWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MALCOLM AVE, TETERBORO, NJ 07608-1011
(201) 393-5122
Mailing address
281 FARMINGDALE RD, WAYNE, NJ 07470-6555
(973) 628-8361
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MA038639
NJ
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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