Individual
DR. PRASANNA GOVIND PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 W LACEY RD, FORKED RIVER, NJ 08731-2244
(609) 693-3956
(609) 693-7191
Mailing address
1370 VINCENZO DR, TOMS RIVER, NJ 08753-2768
(732) 818-0253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03509500
NJ
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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