Individual
INDIRA BOLLAMPALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1540 HWY 138, SUITE208, WALL, NJ 07719-3763
(732) 681-9045
(732) 681-9494
Mailing address
1540 HWY 138, SUITE208, WALL, NJ 07719-3763
(732) 681-9045
(732) 894-3923
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA39866
NJ
Other
Enumeration date
01/20/2006
Last updated
06/13/2013
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