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Search › New Jersey › 207RN0300X

Supriya Ravella, M.D

NPI 1801165873 · on the registry since 2011 · sole proprietor

Practice

Address
546 Saint Georges Ave
Rahway, NJ 07065
Phone
(732) 381-3642
Fax
(732) 396-4463
Organisation at this address
Valor Living Group Llc
Innovative Dentistry, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
207RN0300X
207RN0300X
Also registered as
390200000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-16

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