Organization
MANALAPAN MEDICAL CENTER PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR PRIVEN M.D. (MEDICAL DIRECTOR)
(732) 845-2200
Entity
Organization
Contact information
Practice address
345 ROUTE 9 SOUTH, SUITE 9, MANALAPAN, NJ 07726
(732) 845-2200
(732) 845-0501
Mailing address
345 ROUTE 9 SOUTH, SUITE 9, MANALAPAN, NJ 07726
(732) 845-2200
(732) 845-0501
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25 MA07690600
NJ
Other
Enumeration date
06/12/2009
Last updated
10/23/2012
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