Individual
KUMARASWAMY GOLLARAHALLY-KENCHAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
22 BALL ST, IRVINGTON, NJ 07111-3521
(973) 877-8357
Mailing address
22 BALL ST, IRVINGTON, NJ 07111-3521
(973) 877-8357
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PFI9647
NY
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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