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1114451630
MAHIDHAR MAHASAMUDRAM REDDY
WEST ORANGE, NJ
NPI
1114451630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA11750000)
Enumeration Date
2017-04-12
Last Update Date
2023-12-07
Business Address
Dr. MAHIDHAR MAHASAMUDRAM REDDY MD
1199 PLEASANT VALLEY WAY
WEST ORANGE, NJ 07052-1424
Phone number: 973-830-7694
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Mailing Address
Dr. MAHIDHAR MAHASAMUDRAM REDDY MD
12 CEDAR GATE DR
LIVINGSTON, NJ 07039
Phone number: 848-992-4223
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