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Individual

DR. RAMARAO GAJULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 SAINT GEORGES AVE STE G, AVENEL, NJ 07001-1000
(732) 382-8111
(732) 381-0292
Mailing address
1500 SAINT GEORGES AVE STE G, AVENEL, NJ 07001-1000
(732) 382-8111
(732) 381-0292

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA0066859
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201782313
TAX IDENTIFICATION NUMBER
NJ
05
7610904
NJ
Enumeration date
05/30/2006
Last updated
10/16/2024
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