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Vamsi Suryadevara

NPI 1932710662 · on the registry since 2020

Practice

Address
4601 Westfield Ave
Pennsauken, NJ 08110
Phone
(856) 663-3405
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-15

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