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Individual

DR. ASHOK REDDY MANDALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060
(609) 914-6180
(609) 914-6182
Mailing address
301 LIPPINCOTT DR STE 120, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0346

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD452175
PA
208M00000X
Hospitalist Physician
232688
MA
208M00000X
Hospitalist Physician
Primary
25MA10086200
NJ

Other

Enumeration date
06/27/2007
Last updated
06/08/2018
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