Individual
DR. NEELIMA MYNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5512
Mailing address
30B VREELAND RD, STE 200, FLORHAM PARK, NJ 07932-1926
(973) 660-9334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA09420200
NJ
207LP3000X
Pediatric Anesthesiology Physician
Primary
25MA09420200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469076
—
NJ
Enumeration date
08/15/2008
Last updated
05/02/2024
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