Individual
DR. JAYA LAKSHMI GAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7712
(908) 994-7711
Mailing address
9 CHURCHILL RD, EDISON, NJ 08820-1685
(908) 412-1660
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MA06088200
NJ
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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