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Individual

RAMESH CHANDRA MAHAPATRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
99 HIGHWAY 37, TOMS RIVER, NJ 08755-6423
(732) 557-8526
Mailing address
PO BOX 1247, TOMS RIVER, NJ 08754-1247
(732) 349-3838

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03408500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230753000
AMERIHEALTH
05
1710001
NJ
01
220019060
RRM
01
P794268
OXFORD
Enumeration date
05/12/2006
Last updated
08/13/2010
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