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General NPI Number Information
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NPI Number | 1750657516
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Entity Type | Organization
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Legal Business Name | KOTTA M RAMAMURTHY MD PA
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 898 GREEN ST
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City | ISELIN
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State | NJ
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Zip | 08830-2121
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Country | US
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Telephone | 732-634-9494
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Fax | 732-634-4560
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Provider Business Mailing Address
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Address Line | 898 GREEN ST
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City | ISELIN
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State | NJ
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Zip | 08830-2121
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Country | US
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Telephone | 732-634-9494
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Fax | 732-634-4560
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Authorized Official
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Title or Position | PRESIDENT
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Name | KOTTA M. RAMAMURTHY
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Credential | M.D.
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Telephone | 732-634-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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