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Individual

DR. MANOJ MALHOTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13 LYDIA DR, GUTTENBERG, NJ 07093-8301
(216) 403-3901
(201) 553-0005
Mailing address
PO BOX 305, FLORHAM PARK, NJ 07932-0305
(216) 403-3901
(201) 553-0005

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
250541
NY
2084N0400X
Neurology Physician
25MA08489200
NJ
2084N0400X
Neurology Physician
35074959
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000386727
ANTHEM BC
OH
05
2116678
OH
Enumeration date
06/20/2006
Last updated
11/24/2008
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