Individual provider · Type 1 NPI

Madhuri Ponnaluri

Pediatric Nurse Practitioner · Newark, NJ

NPI number 1083387591 Active

Practice location

741 Broadway
Newark, NJ 07104-4309

Fax (973) 676-1396

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X26NJ01197700 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1083387591

Madhuri Ponnaluri's National Provider Identifier is 1083387591, issued on Jul 29, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newark, NJ. The record was last updated on Mar 14, 2024.