Individual
DR. MUMTA HATHIRAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1122 ROUTE 22 STE 104, MOUNTAINSIDE, NJ 07092
(908) 654-5151
Mailing address
184B MORRIS ST, MORRISTOWN, NJ 07960-4216
(732) 372-3380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02558000
NJ
Other
Enumeration date
01/13/2014
Last updated
06/02/2018
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