Individual
DR. INDRA DEO PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 S HARRISON ST, 203, EAST ORANGE, NJ 07018-1700
(973) 395-1020
(973) 395-1030
Mailing address
85 S HARRISON ST, 203, EAST ORANGE, NJ 07018-1700
(973) 395-1020
(973) 395-1030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06733900
NJ
Other
Enumeration date
07/08/2005
Last updated
03/23/2011
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