Organization
ETUKURU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASTURI ETUKURU MD (OWNER)
(718) 702-6139
Entity
Organization
Contact information
Practice address
1001 CENTER ST, LITTLE EGG HARBOR TWP, NJ 08087-1347
(609) 296-9292
Mailing address
33 PREAKNESS DR, MONROE, NJ 08831-7711
(718) 702-6139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
10/07/2024
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