Individual
MALLAPPA NANJAPPA PRABHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 CENTRAL AVENUE, GREYSTONE PARK PSYCHIATRIC HOSPITAL, GREYSTONE PARK, NJ 07950
(973) 538-1800
(973) 993-9081
Mailing address
2 HILARY TER, SUCCASUNNA, NJ 07876-1055
(973) 584-7752
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
026220
NJ
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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