Individual
PRABHAT R DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1166 RIVER AVE, LAKEWOOD, NJ 08701-5600
(732) 370-6653
(732) 736-6954
Mailing address
1398 CABERNET CT, TOMS RIVER, NJ 08753-2760
(732) 370-6653
(732) 736-6954
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA06729400
NJ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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