Individual
DR. PADMAVATHY ALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
557 BROAD ST, SUITE 22, BLOOMFIELD, NJ 07003-2885
(973) 429-9844
(973) 429-9858
Mailing address
557 BROAD ST, SUITE 22, BLOOMFIELD, NJ 07003-2885
(973) 429-9844
(973) 429-9858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MB63954
NJ
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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