# S PRAKASH MD PA

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

## Provider details

- **NPI number:** 1811929573
- **Authorized official:** DR. SASHA PRAKASH M.D. (OWNER)
- **Authorized official phone:** (201) 858-8444

## Contact information

- **Practice address:** 534 AVENUE E, SUITE 1-A, BAYONNE, NJ 07002-3987
- **Practice address phone:** (201) 858-8444
- **Practice address fax:** (201) 858-4260
- **Mailing address:** 534 AVENUE E, SUITE 1-A, BAYONNE, NJ 07002-3987
- **Mailing address phone:** (201) 858-8444
- **Mailing address fax:** (201) 858-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MA34605 | NJ | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/11/2008