Manasi Revankar D.O.

NPI 1619127024 - Family Medicine - 207Q00000X

NPI Details
NPI 1619127024
Gender Female
Enumeration Date 09/22/2008
Last Updated 11/12/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
185 ROSEBERRY ST
PHILLIPSBURG NJ, 08865-1690, US
Phone (908) 213-6611
Fax
Business Location
4305 BIRCHWOOD CT
NORTH BRUNSWICK NJ, 08902-3917, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 262304
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According to our database, Manasi Revankar D.O. NPI is 1619127024, taxonomy code is 207Q00000X and license number is 262304, license state is located at New York. Manasi Revankar D.O. physically located at 185 Roseberry St, Phillipsburg NJ, 08865-1690. NPI Number Manasi Revankar D.O. has the Individual type.

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1619127024 NPI number is provided on an as is basis without warranty of any kind. 1619127024 is maintained by the National Plan & Provider Enumeration System. The contents of Manasi Revankar D.O. are for informational purposes only.