Individual
LAKSHMI MANISHA MUMMADISINGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
130 MAPLE AVE STE 3B, RED BANK, NJ 07701-1729
(732) 747-2111
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00370200
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00370200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909211
—
NJ
Enumeration date
04/07/2019
Last updated
04/01/2024
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