Organization
PATIENT CENTERED HEALTHCARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIVEDITA BANSAL MD (MD/DIRECTOR)
(973) 902-7605
Entity
Organization
Contact information
Practice address
1130 US RT 46 WEST, SUITE 2, PARSIPPANY, NJ 07054-2148
(973) 902-7605
(973) 201-0062
Mailing address
144 N BEVERWYCK RD, SUITE 151, LAKE HIAWATHA, NJ 07034-1909
(973) 902-7605
(973) 201-0062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08318700
NJ
Other
Enumeration date
11/05/2010
Last updated
03/03/2011
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