Individual
DR. GEETHA GURRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3903
(732) 321-7000
Mailing address
65 JAMES ST, EDISON, NJ 08820-3903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1021885
MA
208000000X
Pediatrics Physician
Primary
25MA09726400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048999
—
NJ
Enumeration date
04/03/2006
Last updated
03/11/2025
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