Individual
GOWTHAMI ARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102
(973) 877-5000
Mailing address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10422100
NJ
Other
Enumeration date
04/18/2015
Last updated
11/01/2019
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