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Individual

DR. TELECHERY AMANDA SUDHAKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 FULD ST., STE. 401, TRENTON, NJ 08638-5247
(609) 599-1004
(609) 599-3611
Mailing address
40 FULD ST., STE. 401, TRENTON, NJ 08638-5247
(609) 599-1004
(609) 599-3611

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA034758
NJ
207RN0300X
Nephrology Physician
MA34758
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0993409
NJ
05
2314100
NJ
Enumeration date
07/02/2006
Last updated
09/20/2010
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