Individual
DR. MADHAVI GOTTIMUKKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
(732) 750-0707
Mailing address
1030 SAINT GEORGES AVE, AVENEL, NJ 07001-1390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23565
NJ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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