Individual
NANDITHA KRISHNAMSETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2433 HIGHWAY 516, OLD BRIDGE, NJ 08857-1899
(732) 360-0287
(732) 360-1279
Mailing address
3 HOSPITAL PLZ, STE 302, OLD BRIDGE, NJ 08857-3095
(732) 360-4077
(732) 360-4078
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25MA07627400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6863587
AETNA HMO
NJ
01
—
7302923
AETNA PPO
NJ
Enumeration date
03/21/2006
Last updated
12/19/2017
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