Individual
DR. ATUL PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 ALLWOOD RD STE 103, CLIFTON, NJ 07012-1946
(201) 355-9974
(201) 444-1755
Mailing address
54 FOREST HILLS WAY, CEDAR GROVE, NJ 07009-2031
(201) 791-6900
(973) 239-2056
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA06280300
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
MA62803
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6745709
—
NJ
Enumeration date
06/27/2006
Last updated
10/18/2018
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