Individual
LAKSHMI PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 MOUNTAIN BLVD, SUITE 9, WARREN, NJ 07059-5605
(908) 769-9600
(908) 769-9610
Mailing address
36 HANSOM RD, BASKING RIDGE, NJ 07920-2973
(908) 470-0003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06947500
NJ
Other
Enumeration date
05/26/2006
Last updated
11/30/2007
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