Individual
MS. SHARON LEELA PATIBANDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
246 CLIFTON AVE STE 4, CLIFTON, NJ 07011-1953
(973) 928-2715
Mailing address
3111 GATES CT, MORRIS PLAINS, NJ 07950-3472
(862) 222-7234
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00493500
NJ
Other
Enumeration date
06/29/2019
Last updated
06/29/2019
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