Shyam Sunder Mudigonda
Shyam Sunder Mudigonda is a Pharmacist in Newark, New Jersey. Practices as a sole proprietor. Licensed in Delaware and New Jersey.
- Licensed in
- DE, NJ
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
800 Broad StNewark, NJ 07102-2760
Phone: (973) 596-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 28RI03189800 (NJ) |
|---|---|
| Pharmacist | Taxonomy 183500000X · Licence A1-0004392 (DE) |
Record details
| NPI number | 1306241757 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2014 |
| Last updated in NPPES | October 28, 2014 |
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