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NPI Code Detail

MEDICARE: VINATHA VUKANTI

MEDICARE: VINATHA VUKANTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03113600NJ

General Provider Information

NPI Number : 1477899243
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINATHA VUKANTI
Provider Business Mailing Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-481-3388
Fax Number : 973-481-0625
Provider Business Practice Location Address
First Line : 205 SUMMER AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07104-2628
Country : US
Telephone Number : 973-481-3388
Fax Number : 973-481-0625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2012
Last Update Date : 12/21/2012

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Directions to “ VINATHA VUKANTI ” Practice Location

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