Individual
DR. BASANT KUMAR PRADHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Mailing address
39A READING RD, EDISON, NJ 08817-2157
(732) 742-3180
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MT190008
PA
Other
Enumeration date
08/11/2007
Last updated
04/25/2016
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