Individual
KAVITA K BUPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WOODBRIDGE CENTER, SUITE 405, WOODBRIDGE, NJ 07095
(732) 650-0350
(732) 650-0354
Mailing address
1 WOODBRIDGE CENTER, SUITE #405, WOODBRIDGE, NJ 07095
(732) 326-0363
(732) 326-0365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MAO69857
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8054401
—
NJ
Enumeration date
06/26/2006
Last updated
07/08/2007
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