Prabhavathi Venkata Gude M.D.

NPI 1205952173 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1205952173
Gender Female
Enumeration Date 03/22/2007
Last Updated 07/10/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
570 LEE STREET
RARITAN BAY MENTAL HEALTH CENTER
PERTH AMBOY NJ, 08861-3053, US
Phone (732) 442-1666
Fax
Business Location
570 LEE STREET
RARITAN BAY MENTAL HEALTH CENTER
PERTH AMBOY NJ, 08861-3053, US
Phone (732) 442-1666
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number 25MA03803500
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According to our database, Prabhavathi Venkata Gude M.D. NPI is 1205952173, taxonomy code is 2084P0800X and license number is 25MA03803500, license state is located at New Jersey. Prabhavathi Venkata Gude M.D. physically located at 570 Lee Street, Perth Amboy NJ, 08861-3053. NPI Number Prabhavathi Venkata Gude M.D. has the Individual type.

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1205952173 NPI number is provided on an as is basis without warranty of any kind. 1205952173 is maintained by the National Plan & Provider Enumeration System. The contents of Prabhavathi Venkata Gude M.D. are for informational purposes only.