Individual provider · NPI-1

Dr. Vanajakshi Paturu, M.D

· Fair Lawn, NJ

NPI number1598876369
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1598876369
Entity type
Individual (NPI-1)
Name
Dr. Vanajakshi Paturu
Credential
M.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0805X MA070341NJYes

Practice location

15-01 Broadway Ste 10b
Fair Lawn, NJ 07410-6006

Phone 201-794-7733 · Fax 201-794-6039

Mailing address

15 La Rosa Dr
Little Ferry, NJ 07643-1724

Phone 201-229-9589

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