Individual
BABURAO KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 7100, NEWARK, NJ 07103-2425
(973) 972-7218
(973) 972-6227
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
25MA05256900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3989208
—
NJ
Enumeration date
07/04/2006
Last updated
03/21/2022
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