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1265490072
MADHAVI PENTYALA
LIVINGSTON, NJ
NPI
1265490072
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Former Name
MADHAVI KAKUMANU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA07939700)
Enumeration Date
2006-05-02
Last Update Date
2014-05-20
Business Address
-- MADHAVI PENTYALA M.D.
22 OLD SHORT HILLS RD SUITE 213
LIVINGSTON, NJ 07039-5604
Phone number: 973-992-0658
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Mailing Address
-- MADHAVI PENTYALA M.D.
1 SCHANCK DR
EDISON, NJ 08820-2417
Phone number: 973-992-0658
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