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Individual

MADHAVI PAMIDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 731-9442
(973) 731-2918
Mailing address
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052-2724
(973) 731-9442
(973) 731-2918

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07137200
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA07137200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8565902
NJ
Enumeration date
07/26/2005
Last updated
04/30/2009
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