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1043258023
KESAVARAO MITTAPALLI
HACKENSACK, NJ
NPI
1043258023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA05903900)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Dr. KESAVARAO MITTAPALLI MD
30 PROSPECT AVE FACULTY PRACTICE OFFICE
HACKENSACK, NJ 07601-1914
Phone number: 201-996-2816
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Mailing Address
Dr. KESAVARAO MITTAPALLI MD
280 HENRY ST
PARAMUS, NJ 07652-4536
Phone number: 201-261-0262
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