Individual
MANJULA VARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1818 E ELIZABETH AVE, LINDEN, NJ 07036-1410
(908) 583-5421
Mailing address
380 RAMONA AVE, STATEN ISLAND, NY 10312-2611
(917) 670-4695
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
144214
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA0387750
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074187
—
NJ
Enumeration date
06/16/2006
Last updated
10/23/2023
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