Individual
DR. BHAVANI JEEREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 S 21ST ST, KENILWORTH, NJ 07033-1626
(908) 276-9595
(908) 276-6807
Mailing address
66 S 21ST ST, KENILWORTH, NJ 07033-1626
(908) 276-9595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08409200
NJ
Other
Enumeration date
06/05/2008
Last updated
10/29/2012
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