Individual
SHAILA MADDAIAH MADDAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 JOHN STREET, FAMILY & CHILDRENS SERVICES OF CENTRAL NJ, PRINCETON, NJ 08542-3132
(609) 924-2098
(609) 924-7826
Mailing address
20 DORLAND FARM COURT, SKILLMAN, NJ 08558
(609) 924-2098
(609) 924-7826
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05097600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1047302
—
NJ
Enumeration date
08/31/2006
Last updated
05/15/2012
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