# MANOOJ PRASAD DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093948051
- **Authorized official:** MANOOJ PRASAD DPM (OWNER)
- **Authorized official phone:** (732) 987-9950

## Contact information

- **Practice address:** 637 RIVER AVE STE B, LAKEWOOD, NJ 08701-5227
- **Practice address phone:** (732) 987-9950
- **Mailing address:** PO BOX 1899, TOMS RIVER, NJ 08754-1899
- **Mailing address phone:** (732) 987-9950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00292900 | NJ | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009