Individual
DR. PAUL V SUNKAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
1100 ROUTE 72 W STE 304, MANAHAWKIN, NJ 08050-2475
(609) 978-3910
(609) 978-3912
Mailing address
1100 ROUTE 72 W STE 304, MANAHAWKIN, NJ 08050-2475
(609) 978-3910
(609) 978-3912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07784500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067016
—
NJ
Enumeration date
10/07/2005
Last updated
12/12/2018
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