Bharati D Penupatruni MD LLC
General Practice in Monmouth Jct, NJ. Organization (NPI-2).
NPI number1760928014
StatusActive
Last updated in NPPESJan 10, 2017
Details
- NPI
- 1760928014
- Entity type
- Organization (NPI-2)
- Legal business name
- Bharati D Penupatruni MD LLC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2017
- Last updated
- Jan 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 25MA05220800 | NJ | Yes |
Practice location
4 Drinking Brook RdMonmouth Jct, NJ 08852-2800
Phone 908-307-5695
Mailing address
4 Drinking Brook RdMonmouth Jct, NJ 08852-2800
Authorized official
Bharati D Penupatruni
Owner
9083075695
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