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Individual

SAI SAMBA KRISHNA R. KOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2757 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 333-8004
(201) 333-8425
Mailing address
201 SAINT PAULS AVE, 15W, JERSEY CITY, NJ 07306-3724
(201) 333-8004
(201) 333-8425

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA58634
NJ

Other

Enumeration date
11/24/2006
Last updated
07/08/2007
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