Organization
MIND AND BODY TELEMEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARUNA PODDAR MD (PARTNER)
(732) 659-1051
Entity
Organization
Contact information
Practice address
28 SAINT MORITZ LN, CHERRY HILL, NJ 08003-5122
(732) 659-1051
Mailing address
28 SAINT MORITZ LN, CHERRY HILL, NJ 08003-5122
(732) 659-1051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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