MEDICARE: ANUJA A PRADHAN MD

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
1	207RI0200X	Infectious Disease Physician	269458	NY
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA095407000	NJ

General Provider Information

NPI Number	:	1528260064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUJA A PRADHAN MD

Provider Business Mailing Address
First Line	:	31 GRAND COVE WAY
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-7223
Country	:	US
Telephone Number	:	917-640-0220
Fax Number	:	810-258-5228

Provider Business Practice Location Address
First Line	:	31 GRAND COVE WAY
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-7223
Country	:	US
Telephone Number	:	917-640-0220
Fax Number	:	810-258-5228

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	04/03/2025

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Directions to “ ANUJA A PRADHAN MD” Practice Location

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