Individual
DR. LAKSHMI P NANDIWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 PLAZA 9, ENGLISHTOWN, NJ 07726-3010
(732) 431-0505
(732) 294-2470
Mailing address
15 MOCKINGBIRD DR, COLTS NECK, NJ 07722-2228
(908) 216-6501
(732) 294-2470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA5178100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3835804
—
NJ
Enumeration date
06/03/2006
Last updated
06/25/2012
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