Individual
DARSHANA MAHAPATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(732) 557-8141
(732) 557-8933
Mailing address
PO BOX 95000-2705, PHILADELPHIA, PA 19195-2705
(609) 441-2147
(609) 441-2107
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03707300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5111803
—
NJ
Enumeration date
06/03/2006
Last updated
03/30/2011
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