Individual
DR. PADMA MANDALAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,M.D,F.A.A.P
Contact information
Practice address
2322 NEW RD, NORTHFIELD, NJ 08225-1440
(609) 641-0200
Mailing address
2322 NEW RD, NORTHFIELD, NJ 08225-1440
(609) 641-0200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA65706
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8331707
—
NJ
01
—
DO7212500
CDA NUMBER
NJ
Enumeration date
01/30/2006
Last updated
03/07/2023
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