Individual
MAYANK THAPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 LACKLAND AVE, PISCATAWAY, NJ 08854-6664
(845) 270-4525
Mailing address
41 LACKLAND AVE, PISCATAWAY, NJ 08854-6664
(845) 270-4525
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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