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1548574346
ABHILASHA RAO PONNAMANENI
MEDFORD, NJ
NPI
1548574346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MA08964100)
Enumeration Date
2010-08-04
Last Update Date
2012-08-14
Business Address
-- ABHILASHA RAO PONNAMANENI M.D.
639 STOKES RD SUITE 102
MEDFORD, NJ 08055-3003
Phone number: 609-654-7556
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Mailing Address
-- ABHILASHA RAO PONNAMANENI M.D.
811 SUNSET RD SUITE 101
BURLINGTON, NJ 08016-3645
Phone number: 609-387-9242
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