Individual
MR. MADHAVARAO SUBBARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDFACA
Contact information
Practice address
6 ETON COURT, PARAMUS, NJ 07652-5536
(201) 967-5967
(201) 967-5967
Mailing address
6 ETON COURT, POB 1785, PARAMUS, NJ 07652-5536
(201) 967-5967
(201) 967-5967
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036495
CT
207L00000X
Anesthesiology Physician
110484
NY
207L00000X
Anesthesiology Physician
Primary
24433
NJ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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