Individual
RAJI ANAND MADDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
85 PERRY MERRILL DR, WEST HAVEN, CT 06516-7706
(203) 809-9281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163942
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
10143
CT
Other
Enumeration date
08/18/2021
Last updated
10/25/2023
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