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1831137215
BHAVANI DURGA VIETLA
NORTH BRUNSWICK, NJ
NPI
1831137215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA06986200)
Enumeration Date
2006-06-04
Last Update Date
2013-02-21
Business Address
Mrs. BHAVANI DURGA VIETLA M.D.
2864 ROUTE 27 SUITE D
NORTH BRUNSWICK, NJ 08902-5010
Phone number: 732-297-4272
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Mailing Address
Mrs. BHAVANI DURGA VIETLA M.D.
1 WINDMILL CT
PLAINSBORO, NJ 08536-3146
Phone number: 732-297-4272
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