Individual
SUBHA JYOTHI KUKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
59 ONE MILE RD EXT FL 2, EAST WINDSOR, NJ 08520-2505
(844) 337-6362
Mailing address
33 E 33RD ST FL 12, NEW YORK, NY 10016-5362
(929) 501-0535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14971700
NJ
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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