NPI 1053512269

Jyothi Jagadeesh, MD

Practitioner Internal Medicine Physician Mount Holly, NJ

Practice location

Address: 175 Madison Ave, Mount Holly, NJ 08060-2038
Phone: (609) 914-6180
Fax: (609) 914-6182
Mailing address: 401 Route 73 N 40 Lake Center Drive STE 201a, Marlton, NJ 08053-3425

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 25MA08430600 (NJ)

Other Internal Medicine providers in New Jersey →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 390200000X (NJ)

Registry record

NPI: 1053512269
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2007
Record last updated: 9 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.