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Individual

PRAKASHAM PARSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1323 STATE ROUTE 27 UNIT C, SOMERSET, NJ 08873-3457
(914) 354-9844
Mailing address
101 PROSPECT AVE, SUITE 1 C, HACKENSACK, NJ 07601-1911
(201) 487-5018

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09423200
NJ
208000000X
Pediatrics Physician
262836
NY
208000000X
Pediatrics Physician
35-099737
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0071767
OH
05
02808042
NY
05
0418161
NJ
Enumeration date
08/03/2006
Last updated
12/07/2015
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