Gubbi, Smitha Ayodhyaram

Gubbi, Smitha Ayodhyaram is an individual health care provider with primary practice located at 215 Union Ave Bridgewater Internal Medicine Suite E, Bridgewater NJ 08807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gubbi, Smitha Ayodhyaram can be contacted via phone (908) 685-1818.

Contact Information

Primary practice address
215 Union Ave Bridgewater Internal Medicine Suite E Bridgewater NJ 08807
Fax: (908) 685-8225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07648800 New Jersey

Profile Details

NPI number 1275620650
LBN Legal business name Gubbi, Smitha Ayodhyaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275620650 NPPES
New Jersey MEDICAID 0025003

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