Individual
RAM MAHATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7189
(732) 906-4929
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA10415400
NJ
2084P0800X
Psychiatry Physician
282053
NY
2084P0802X
Addiction Psychiatry Physician
Primary
282053
NY
Other
Enumeration date
11/07/2014
Last updated
12/12/2019
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