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1245344886
SUSHAMA SRIVASTAVA
NEWARK, NJ
NPI
1245344886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ ma061952)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- SUSHAMA SRIVASTAVA
166 LYONS AVE
NEWARK, NJ 07112-2016
Phone number: 971-926-3535
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Mailing Address
-- SUSHAMA SRIVASTAVA
15 ROBERT DR
SHORT HILLS, NJ 07078-1506
Phone number:
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