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1316106305
SRINIVAS V GONGIREDDY
JERSEY CITY, NJ
NPI
1316106305
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA08416400)
Enumeration Date
2008-06-04
Last Update Date
2009-12-08
Business Address
-- SRINIVAS V GONGIREDDY M.D
355 GRAND ST 3 EAST , DEPT OF MEDICINE
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2430
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Mailing Address
-- SRINIVAS V GONGIREDDY M.D
1034 KENNEDY BLVD B-3
BAYONNE, NJ 07002-2022
Phone number: 201-988-4534
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