Individual
MRS. PADMASREE GUMIDYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
974 INMAN AVENUE, SUITE 1-A, ABC PEDIATRICS, EDISON, NJ 08820
(908) 412-8866
(908) 412-9363
Mailing address
974 INMAN AVENUE, SUITE 1-A, ABC PEDIATRICS, EDISON, NJ 08820
(908) 412-8866
(908) 412-9363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08850000
NJ
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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