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Individual

MEGAN MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 235-0101
Mailing address
79 CENTRAL AVE APT 1, MONTCLAIR, NJ 07042-3040

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15586300
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NR27870300
NJ

Other

Enumeration date
06/06/2026
Last updated
06/18/2026
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