Individual
HARSHA AYYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
150 BERGEN STREET, UH I-248, NEWARK, NJ 07103
Taxonomy
Speciality
Code
Description
License number
State
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA1160990
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2017
Last updated
10/14/2022
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