Individual
NIKITA NALMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 LIBERTY DR, DAYTON, NJ 08810-1614
(732) 421-9890
Mailing address
76 LIBERTY DR, DAYTON, NJ 08810-1614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N0308592005912
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0308592005912
—
NJ
Enumeration date
02/19/2021
Last updated
02/19/2021
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