Individual
KAMAL ADDAGATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 BROAD ST, CLIFTON, NJ 07013-3398
(973) 327-9584
(833) 578-2190
Mailing address
800 WESTCHESTER AVE STE S512, RYE BROOK, NY 10573-1369
(914) 800-1022
(914) 800-1021
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA10287200
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
336911-01
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
68908
CT
Other
Enumeration date
04/17/2013
Last updated
06/19/2026
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