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Individual

KALPANA KONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 293-2316
(732) 324-3320
Mailing address
PO BOX 48270, NEWARK, NJ 07101-4800
(201) 818-9118

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03869800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01007828800
AMERICHOICE
NJ
01
1581046
AETNA HMO #
NJ
01
2834633000
AMERIHEALTH #
NJ
01
322286
AMERIGROUP
NJ
01
3K4836
HEALTHNET #
NJ
01
60031773
HORIZON NJ HEALTH #
NJ
01
7450960
AETNA PPO #
NJ
Enumeration date
12/18/2006
Last updated
04/16/2008
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