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Individual

DR. PADMINI KAVITHA MUTHYALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-5000
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248242
NY
207R00000X
Internal Medicine Physician
Primary
25MA08344000
NJ
207R00000X
Internal Medicine Physician
MD432958
PA

Other

Enumeration date
01/20/2008
Last updated
03/15/2019
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