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Shubha Kodamballi

NPI 1740873769 · on the registry since 2021

Practice

Address
3191 State Route 27
Franklin Park, NJ 08823
Phone
(732) 798-6076
Fax
(732) 798-6078
Organisation at this address
Anuj Rx Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey