Individual
MRS. KALANIE MENDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-7374
Mailing address
PO BOX 8500-1611, PHILADELPHIA, PA 19178-0001
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08631100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215821
—
NJ
Enumeration date
06/27/2007
Last updated
01/29/2010
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