Individual
DR. MARY KANNANKERIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 CHANGEBRIDGE RD, BUILDING B3-4, MONTVILLE, NJ 07045-9115
(973) 276-0041
Mailing address
38 FOX RUN, NORTH CALDWELL, NJ 07006-4172
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA39738
NJ
Other
Enumeration date
01/31/2007
Last updated
01/07/2013
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