Organization
MARY C KANNANKERIL MD.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C KANNANKERIL MD.PA (OWNER)
(973) 276-0041
Entity
Organization
Contact information
Practice address
170 CHANGEBRIDGE RD, SUITE B 3-4, MONTVILLE, NJ 07045-9115
(973) 276-0041
(973) 628-1935
Mailing address
170 CHANGEBRIDGE RD, SUITE B 3-4, MONTVILLE, NJ 07045-9115
(973) 276-0041
(973) 628-1935
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
11/20/2023
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