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1154775294
VIVEK DANTAPALLY REDDY
HACKENSACK, NJ
NPI
1154775294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA10848200)
Enumeration Date
2016-04-14
Last Update Date
2021-03-23
Business Address
Dr. VIVEK DANTAPALLY REDDY MBBS
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-4466
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Mailing Address
Dr. VIVEK DANTAPALLY REDDY MBBS
PO BOX 416457
BOSTON, MA 02241-6457
Phone number: 844-362-1735
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