Organization
OUR DOCTOR IN THE HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREMA PRASAD MD (MEDICAL DIRECTOR)
(973) 979-1536
Entity
Organization
Contact information
Practice address
400 ROUTE 10 W STE 1AND2, RANDOLPH, NJ 07869-2104
(973) 891-1321
(973) 206-5049
Mailing address
14 BRYCE WAY, MORRIS PLAINS, NJ 07950-2545
(973) 891-1321
(973) 206-5049
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Enumeration date
09/30/2017
Last updated
09/30/2017
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