Individual
DR. PRASHANT N PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
449 MOUNT PLEASANT AVE, 1ST FLOOR, WEST ORANGE, NJ 07052-2723
(973) 731-7868
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06751300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223663587
COMMERICAL
NJ
Enumeration date
11/21/2005
Last updated
11/21/2016
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