Individual
DR. PRAVEEN KADIMCHERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 PROSPECT AVE, SUITE 110, WEST ORANGE, NJ 07052-4197
(973) 419-0200
Mailing address
475 PROSPECT AVE, SUITE 110, WEST ORANGE, NJ 07052-4197
(973) 419-0200
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA09481800
NJ
Other
Enumeration date
02/06/2011
Last updated
06/05/2015
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