Individual
PHALIMAR S PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 HORIZON RD APT 1427, FORT LEE, NJ 07024-6533
(201) 886-2297
Mailing address
2 HORIZON RD APT 1427, FORT LEE, NJ 07024-6533
(201) 886-2297
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA03882100
NJ
Other
Enumeration date
10/04/2007
Last updated
07/21/2022
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