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| Physician Records |
| Physician Last Name: | Mallela | |||
| Physician First Name: | Robert | |||
| Physician Middle Name: | Chandran | |||
| Address: | 22 Third Avenue Roseland, New Jersey 07068 | |||
| License Number: | 197159 | |||
| License Type: | MD | |||
| Year of Birth: | 1942 | |||
| Effective Date: | 01/18/2005 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of practicing fraudulently. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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