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Individual

DR. GULAB VUPPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW BRUNSWICK, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4918
(732) 212-0060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04169500
NJ
207R00000X
Internal Medicine Physician
25MA04169500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7073305
NJ
Enumeration date
05/18/2006
Last updated
02/26/2008
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