Individual
MRS. NIRMALA PANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054
(856) 914-1770
(856) 914-1773
Mailing address
813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054
(856) 914-1770
(856) 914-1773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03543400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0652806
—
NJ
Enumeration date
08/04/2006
Last updated
10/30/2013
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