| Maneyapanda LLC | |
|
1135 Clifton Ave 203 Clifton NJ 07013-3642 | |
| (862) 414-3335 | |
| Not Available |
| Full Name | Maneyapanda LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1135 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Mukundha Belliappa Maneyapanda (OWNER) |
| Authorized Official Contact | 8624143335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maneyapanda LLC 22 Henoch Ave Clifton NJ 07013-1563 Ph: (862) 414-3335 | Maneyapanda LLC 1135 Clifton Ave 203 Clifton NJ 07013-3642 Ph: (862) 414-3335 |
| NPI Number | 1003287715 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 12/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003287715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA09694000 (New Jersey) | Primary |
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