Individual
PALLAVI DODDAKASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 PROSPECT AVE STE 602, HACKENSACK, NJ 07601-1962
(551) 996-2442
(201) 343-1045
Mailing address
3600 STATE ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD047337
DC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0101269635
VA
Other
Enumeration date
05/02/2016
Last updated
12/02/2021
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