Individual
AVANI MANASA KOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
737 8TH ST, SECAUCUS, NJ 07094-3019
(952) 992-9220
Mailing address
737 8TH ST, SECAUCUS, NJ 07094-3019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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