Individual
ELIZABETH K MAMMEN-PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 UNION AVE, SUITE# 603, IRVINGTON, NJ 07111-3262
(973) 399-9250
(732) 252-6634
Mailing address
50 UNION AVE, SUITE#603, IRVINGTON, NJ 07111-3262
(973) 399-9250
(732) 252-6634
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
25MA05474200
NJ
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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