Botlagudur, Suseela
Botlagudur, Suseela is an individual health care provider with primary practice located at 105 Old Matawan Rd , Old Bridge NJ 08857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Botlagudur, Suseela can be contacted via phone (732) 257-1600.Contact Information
Primary practice address
105 Old Matawan Rd
Old Bridge NJ 08857
Phone: (732) 257-1600
Fax: (732) 257-2002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA03134100 | New Jersey |
Profile Details
| NPI number | 1851450852 |
|---|---|
| LBN Legal business name | Botlagudur, Suseela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851450852 | NPPES |
| New Jersey | MEDICAID | 1273601 |
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