Individual
DR. JOSEPH PHILLIP PRASAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1961 MORRIS AVE, SUITE B4, UNION, NJ 07083-3531
(908) 686-0302
(908) 686-0325
Mailing address
1961 MORRIS AVE, SUITE B4, UNION, NJ 07083-3531
(908) 686-0302
(908) 686-0325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI013595-01
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5088101
—
NJ
Enumeration date
11/14/2006
Last updated
07/08/2007
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