Organization
WOMENS HEALTHCARE PAVILLION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANT K NISCHAL P.A. (MANAGER)
(732) 707-3545
Entity
Organization
Contact information
Practice address
200 PERRINE RD, SUITE 204, OLD BRIDGE, NJ 08857-2842
(732) 707-3545
(732) 707-3546
Mailing address
200 PERRINE RD, SUITE 204, OLD BRIDGE, NJ 08857-2842
(732) 707-3545
(732) 707-3546
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
25MP00118500
NJ
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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