Individual
MADHAVI NITIN MANIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 WASHINGTON ST, SUITE 305, EAST ORANGE, NJ 07017
(973) 676-2492
(973) 676-5901
Mailing address
90 WASHINGTON ST, SUITE 305, EAST ORANGE, NJ 07017
(973) 676-2492
(973) 676-5901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA034395
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0780405
—
NJ
Enumeration date
01/31/2007
Last updated
11/22/2013
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