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Pawan Gundavaram
Hematology & Oncology Physician in Roselle, New Jersey
NPI 1174717300

Pawan Gundavaram is a Hematology & Oncology Physician based in Belleville, NJ and is specialized in Hematology & Oncology. Pawan Gundavaram practices in Roselle, NJ. The NPI Number for Pawan Gundavaram is 1174717300 and holds a License No. MA2509079300 (New Jersey).

The current practice location address for Pawan Gundavaram is 776 E 3Rd Ave, Roselle, NJ and can be reached out via phone at 908-259-8817 and via fax at 908-259-8846.

Location: 776 E 3Rd Ave, Roselle, NJ, 07109-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174717300
Provider Name
Pawan Gundavaram
Credential
Provider Entity Type
Individual
Gender
Male
Address
776 E 3Rd Ave, Roselle, NJ, 07109-3550
Phone Number
908-259-8817
Fax Number
908-259-8846
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
776 E 3Rd Ave
City
Roselle
State
New Jersey
Zip
07203-1698
Phone Number
908-259-8817
Fax Number
908-259-8846
person
Provider Business Mailing Address Details
Address
776 E 3Rd Ave
City
Roselle
State
New Jersey
Zip
07203-1698
Phone Number
908-259-8817
Fax Number
908-259-8846
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MA2509079300 (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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