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1912310475
DHRUVATEJ BODDUPALLI
NEW HAVEN, CT
NPI
1912310475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A150647)
Enumeration Date
2014-06-03
Last Update Date
2017-09-27
Business Address
Mr. DHRUVATEJ BODDUPALLI M.D.
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
Mr. DHRUVATEJ BODDUPALLI M.D.
20 YORK STREET P.O. BOX 20802
NEW HAVEN, CT 06520-8025
Phone number: 203-785-4123
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