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1992904445
KETAKI VAIDHYANATHAN
MONTCLAIR, NJ
NPI
1992904445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ 25MA08170600)
Enumeration Date
2007-07-15
Last Update Date
2010-08-03
Business Address
Dr. KETAKI VAIDHYANATHAN M.D.
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6260
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Mailing Address
Dr. KETAKI VAIDHYANATHAN M.D.
137 ROMAINE AVE
MAYWOOD, NJ 07607-1948
Phone number: 201-845-5289
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