# MIND AND BODY MEDICINE LLC

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

## Provider details

- **NPI number:** 1790678753
- **Authorized official:** DR. KARUNA S PODDAR MD (OWNER)
- **Authorized official phone:** (732) 659-1051

## Contact information

- **Practice address:** 28 SAINT MORITZ LN, CHERRY HILL, NJ 08003-5122
- **Practice address phone:** (732) 659-1051
- **Mailing address:** 28 SAINT MORITZ LN, CHERRY HILL, NJ 08003-5122
- **Mailing address phone:** (732) 659-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202D00000X | Integrative Medicine Physician | — | NULL | — |
| 202D00000X | Integrative Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025