Individual
PRAMEELA M PALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
42 LAUREL RD E, UDP #1800, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD, UDP #1800, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06075400
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA06075400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6228500
—
NJ
Enumeration date
01/19/2006
Last updated
07/26/2021
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