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General NPI Number Information
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NPI Number | 1003671199
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Entity Type | Organization
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Legal Business Name | PRAMUKH MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1747 HOOPER AVE STE 15
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City | TOMS RIVER
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State | NJ
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Zip | 08753-8165
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Country | US
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Telephone | 732-228-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WATERS EDGE DR
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City | DELRAN
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State | NJ
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Zip | 08075-1895
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Country | US
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Telephone | 856-444-8405
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Fax | 856-444-8418
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Authorized Official
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Title or Position | OWNER
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Name | CHIRAG PATEL
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Credential |
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Telephone | 856-266-2853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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