Organization
JERSEY DTX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMAREKHA RAO MD (DIRECTOR)
(732) 360-2888
Entity
Organization
Contact information
Practice address
14 WOODWARD DR STE 1A, OLD BRIDGE, NJ 08857-3374
(732) 360-2888
Mailing address
14 WOODWARD DR STE 1A, OLD BRIDGE, NJ 08857-3374
(732) 360-2888
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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