Organization
RAMARAO S GAJULA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMARAO S GAJULA MD (OWNER)
(732) 679-6558
Entity
Organization
Contact information
Practice address
28 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2558
(732) 679-2555
Mailing address
28 THROCKMORTON LN, SUITE 203, OLD BRIDGE, NJ 08857-2558
(732) 679-2555
(732) 679-3060
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA0066859
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7610904
—
NJ
Enumeration date
02/05/2008
Last updated
12/29/2011
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