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Organization
MANOOJ PRASAD DPM LLC
Active
Organization
MANOOJ PRASAD DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOOJ PRASAD DPM (OWNER)
(732) 987-9950
Entity
Organization
Contact information
Practice address
637 RIVER AVE STE B, LAKEWOOD, NJ 08701-5227
(732) 987-9950
Mailing address
PO BOX 1899, TOMS RIVER, NJ 08754-1899
(732) 987-9950
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00292900
NJ
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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