SONALI TATAPUDY
Individual Provider (NPI-1)
Active
Pediatrics, Hospice and Palliative Medicine
Provider Information
- NPI Number
1619322831- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 30 PROSPECT AVE STE 3, HACKENSACK, NJ, 076011915
- Phone
- (551) 996-3283
Specialties & Taxonomies
Family Medicine, Hospice and Palliative Medicine
License: CA #A170498
Pediatrics, Hospice and Palliative Medicine
Primary License: NJ #25MA12005200
Pediatrics
License: CA #A170498
Student in an Organized Health Care Education/Training Program
Pediatrics
License: NJ #25MA12005200
All Addresses
MAILING
3600 ROUTE 66 FL 3
NEPTUNE, NJ, 077532645