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NPI Code Detail

MEDICARE: NALINI PRASAD MD PC

MEDICARE: NALINI PRASAD MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician25MA05653400NJ

General Provider Information

NPI Number : 1326383795
Entity Type Code : Organization
Provider Name (Legal Business Name) : NALINI PRASAD MD PC
Provider Business Mailing Address
First Line : 8103 BERGENLINE AVE
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5048
Country : US
Telephone Number : 201-758-0660
Fax Number : 201-758-0635
Provider Business Practice Location Address
First Line : 8103 BERGENLINE AVE
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5048
Country : US
Telephone Number : 201-758-0660
Fax Number : 201-758-0635
Authorized Official
Title or Position : OWNER
Name : DR. NALINI PRASAD
Credential : M.D.
Telephone Number : 201-758-0660
Provider Enumeration Date : 12/11/2012
Last Update Date : 03/13/2013

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