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Organization

MANEYAPANDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MUKUNDHA BELLIAPPA MANEYAPANDA M.D. (OWNER)
(862) 414-3335
Entity
Organization

Contact information

Practice address
1135 CLIFTON AVE, 203, CLIFTON, NJ 07013-3642
(862) 414-3335
Mailing address
22 HENOCH AVE, CLIFTON, NJ 07013-1563
(862) 414-3335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09694000
NJ

Other

Enumeration date
10/08/2015
Last updated
12/29/2015
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