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1316511876
AVINASH PUCHALAPALLI
BOONTON, NJ
NPI
1316511876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-18
Last Update Date
2021-10-29
Business Address
AVINASH PUCHALAPALLI MD
130 POWERVILLE RD
BOONTON, NJ 07005-8705
Phone number: 973-316-1800
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Mailing Address
AVINASH PUCHALAPALLI MD
130 POWERVILLE RD
BOONTON, NJ 07005-8705
Phone number: 973-316-1800
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