Individual
DR. SHILPA RENUKUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 SAND HILL RD STE 302, FLEMINGTON, NJ 08822-4946
(908) 788-9131
(908) 788-0945
Mailing address
6 SAND HILL RD STE 302, FLEMINGTON, NJ 08822-4946
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA10165400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006699500
—
FL
01
—
14N3P
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/24/2008
Last updated
03/22/2023
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