Individual
MAYA MADHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 897-3620
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 897-3620
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA11876800
NJ
2084N0400X
Neurology Physician
Primary
309616
NY
363AM0700X
Medical Physician Assistant
309616
NY
Other
Enumeration date
04/19/2017
Last updated
04/09/2026
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