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Organization
NEWBORN TO ADOLESCENT SPECIALISTS
Active
Organization
NEWBORN TO ADOLESCENT SPECIALISTS
Active
Other names
Lakshmi Nandiwada MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI P NANDIWADA MD (PHYSICIAN - PRESIDENT)
(732) 431-0505
Entity
Organization
Contact information
Practice address
24 PLAZA 9, ENGLISHTOWN, NJ 07726
(732) 431-0505
(732) 294-2470
Mailing address
24 PLAZA 9, ENGLISHTOWN, NJ 07726
(732) 431-0505
(732) 294-2470
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
25MA04546100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA51781
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3835804
—
NJ
Enumeration date
03/26/2007
Last updated
05/19/2009
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