Individual
DR. SUBBARAO VALLABHANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1031 MCBRIDE AVE, WEST PATERSON, NJ 07424-2559
(973) 785-2288
(201) 644-8588
Mailing address
1031 MCBRIDE AVE, WEST PATERSON, NJ 07424-2559
(973) 785-2288
(201) 644-8588
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29921
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2945401
—
NJ
Enumeration date
11/29/2006
Last updated
07/08/2007
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