Individual
LALA RUKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
61 GARFIELD AVE, COLONIA, NJ 07067-2220
(856) 630-4807
Mailing address
61 GARFIELD AVE, COLONIA, NJ 07067-2220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08773900
NJ
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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