Individual
DR. MAMTA FULORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 POLLARD RD, MOUNTAIN LAKES, NJ 07046-1652
(732) 318-8753
Mailing address
100 POLLARD RD, MOUNTAIN LAKES, NJ 07046-1652
(732) 318-8753
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
103790
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
9801647
NC
Other
Enumeration date
12/02/2005
Last updated
03/26/2025
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