Individual
NISHEET PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 LAKEVIEW DR STE 2, JAMESBURG, NJ 08831-2601
(732) 605-1800
(732) 521-1600
Mailing address
15 HANNAH COURT, MONROE, NJ 08831
(732) 236-4045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08039500
NJ
207RR0500X
Rheumatology Physician
Primary
25MA08039500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144258856
—
ME
Enumeration date
06/29/2006
Last updated
06/24/2020
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