Individual
DR. VANAJAKSHI PATURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
15-01 BROADWAY STE 10B, FAIR LAWN, NJ 07410-6006
(201) 794-7733
(201) 794-6039
Mailing address
15 LA ROSA DR, LITTLE FERRY, NJ 07643-1724
(201) 229-9589
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MA070341
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8787808
—
NJ
Enumeration date
08/31/2006
Last updated
07/09/2007
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