Individual
DR. VIMALA DEVI NUTHAKKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1555 RUTH RD STE 5, NORTH BRUNSWICK, NJ 08902-4074
(732) 398-3939
(732) 398-0909
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(856) 669-6050
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA09072900
NJ
Other
Enumeration date
09/04/2012
Last updated
08/18/2021
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