Krishna Surapaneni

NPI #1629504881 in Maplewood, New Jersey

Provider Information

NPI Number: 1629504881
Entity Type: Individual
Name: Krishna Surapaneni
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 10, 2017
Last Updated: May 10, 2017

Practice Location

Address: 747 IRVINGTON AVENUE
City: Maplewood
State: New Jersey
ZIP Code: 07040
Phone: (973) 762-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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