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Individual

PRADEEP ADUMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
314 SOUTH MAIN STREET, CONYNGHAM,, OR 18219-0395
(570) 708-1500
(570) 708-1501
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(707) 902-3915

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD468261
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103660812-0001
PA
Enumeration date
09/03/2014
Last updated
08/05/2024
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