Individual
SONALI TATAPUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE STE 3, HACKENSACK, NJ 07601-1915
(551) 996-3283
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
A170498
CA
208000000X
Pediatrics Physician
25MA12005200
NJ
208000000X
Pediatrics Physician
A170498
CA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
25MA12005200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
10/01/2025
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