Prem Nandiwada MD

NPI 1255412516 - Internal Medicine - 207RG0100X

NPI Details
NPI 1255412516
Gender Male
Enumeration Date 10/17/2006
Last Updated 08/18/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
200 PERRINE RD
OLD BRIDGE NJ, 08857-2842, US
Phone (732) 625-0210
Fax (732) 625-0214
Business Location
24 PLAZA 9
MANALAPAN NJ, 07726-3010, US
Phone (732) 625-0210
Fax (732) 625-0214
Toxanomy
Taxonomy Code 207RG0100X
License State New Jersey
License Number MA57313
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According to our database, Prem Nandiwada MD NPI is 1255412516, taxonomy code is 207RG0100X and license number is MA57313, license state is located at New Jersey. Prem Nandiwada MD physically located at 200 Perrine Rd, Old Bridge NJ, 08857-2842. NPI Number Prem Nandiwada MD has the Individual type.

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1255412516 NPI number is provided on an as is basis without warranty of any kind. 1255412516 is maintained by the National Plan & Provider Enumeration System. The contents of Prem Nandiwada MD are for informational purposes only.