Ponnaluri, Madhuri

Ponnaluri, Madhuri is an individual health care provider with primary practice located at 741 Broadway , Newark NJ 07104-4309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ponnaluri, Madhuri can be contacted via phone (973) 483-1300.

Contact Information

Primary practice address
741 Broadway Newark NJ 07104-4309
Phone: (973) 483-1300
Fax: (973) 676-1396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 26NJ01197700 New Jersey

Profile Details

NPI number 1083387591
LBN Legal business name Ponnaluri, Madhuri
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2021
Last updated Mar 14th, 2024 - about 2 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.

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