Individual
DR. KALAVATHI AYYAGARI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3437
(973) 761-8500
(973) 761-8910
Mailing address
2010 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-3437
(973) 761-8500
(973) 761-8910
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA30677
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849901
—
NJ
Enumeration date
08/17/2005
Last updated
07/08/2007
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