Individual
KAITLYN MUNDACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(800) 843-2384
Mailing address
8 LEO LN, POUGHQUAG, NY 12570-5402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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