Organization
NEWBORN TO ADOLESCENT SPECIALISTS
Active
Other names
Lakshmi Nandiwada MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI P NANDIWADA MD (PHYSICIAN - PRESIDENT)
(732) 431-0505
Entity
Organization
Contact information
Practice address
24 PLAZA 9, ENGLISHTOWN, NJ 07726
(732) 431-0505
(732) 294-2470
Mailing address
24 PLAZA 9, ENGLISHTOWN, NJ 07726
(732) 431-0505
(732) 294-2470
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
25MA04546100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA51781
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3835804
—
NJ
Enumeration date
03/26/2007
Last updated
05/19/2009
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