Individual
GOPIKRISHNA VENKATESVARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
350 BOULEVARD, ST MARY'S GENERAL HOSPITAL, PASSAIC, NJ 07055
(973) 365-4300
Mailing address
25 POCONO ROAD, SAINT CLARE'S DENVILLE HOSPITAL, DENVILLE, NJ 07834
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
09/03/2021
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