Individual
DR. MUKUNDHA BELLIAPPA MANEYAPANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 CLIFTON AVE, 203, CLIFTON, NJ 07013-3642
(201) 396-7616
Mailing address
22 HENOCH AVE, CLIFTON, NJ 07013-1563
(201) 396-7616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09694000
NJ
Other
Enumeration date
07/02/2012
Last updated
10/08/2015
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