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Individual

DR. PERI KAMALAKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 LYONS AVE, VALERIE FUND CHILDRENS CENTER, NEWARK, NJ 07112-2027
(973) 926-7161
(973) 282-0395
Mailing address
201 LYONS AVE, VALERIE FUND CHILDRENS CENTER, NEWARK, NJ 07112-2027
(973) 926-7161
(973) 282-0395

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MA26831
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09844
NCI INVESTIGATOR NUMBER
NJ
05
1527606
NJ
01
CDS D0242454
STATE CDS NUMBER
NJ
01
MA26831
STATE LICENSE
NJ
Enumeration date
07/13/2006
Last updated
03/07/2023
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