Individual
PRAVINKUMAR K MASHRU II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SUNSET RD, WILLINGBORO, NJ 08046-1110
(856) 824-3000
Mailing address
PO BOX 462, RANCOCAS, NJ 08073-0462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03723900
NJ
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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