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1518064260
SOWMINI KOMMIREDDI
MATAWAN, NJ
NPI
1518064260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: NJ 25MA073809)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
Dr. SOWMINI KOMMIREDDI
1070 STATE ROUTE 34 SUITE V
MATAWAN, NJ 07747-3469
Phone number: 732-290-1063
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Mailing Address
Dr. SOWMINI KOMMIREDDI
1070 STATE ROUTE 34 SUITE V
MATAWAN, NJ 07747-3469
Phone number: 732-290-1063
Copy