Individual
PADAMA MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
28 VALLEY RD # 148, MONTCLAIR, NJ 07042-2709
(973) 559-4600
(855) 998-4358
Mailing address
1 OAKEY DR, KENDALL PARK, NJ 08824-1625
(917) 617-5488
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15009300
NJ
Other
Enumeration date
04/02/2024
Last updated
06/26/2025
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