Prem Nandiwada MD PC
Internal Medicine, Gastroenterology in Manalapan, NJ. Organization (NPI-2).
NPI number1013049600
StatusActive
Last updated in NPPESMay 4, 2010
Details
- NPI
- 1013049600
- Entity type
- Organization (NPI-2)
- Legal business name
- Prem Nandiwada MD PC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2007
- Last updated
- May 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | NJ57313 | NJ | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | MA57313 | NJ |
Practice location
24 Plaza 9Manalapan, NJ 07726-3010
Phone 732-625-0210 · Fax 732-625-0214
Mailing address
24 Plaza 9Manalapan, NJ 07726-3010
Phone 732-625-0210 · Fax 732-625-0214
Authorized official
Prem Nandiwada
President
7326250210
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