Individual
VAIDEHI JONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-2242
(732) 826-5500
(327) 826-5504
Mailing address
110 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-2242
(732) 826-5500
(327) 826-5504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA068024
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046566
—
NJ
Enumeration date
07/19/2006
Last updated
11/05/2024
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