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Individual

DR. RADHIKA V PASUPULETI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
385 TREMONT AVE, VA NEW JERSEY HEALTHCARE SYSTEM, 11TH FLOOR, WRIISC, EAST ORANGE, NJ 07018-1023
(973) 676-1000

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
021182
NY
103T00000X
Psychologist
103TH0004X
Health Psychologist

Other

Enumeration date
02/03/2014
Last updated
03/26/2018
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