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NPI Code Detail

MEDICARE: MONA KRISHAN DOCTORATE

MEDICARE:   MONA  KRISHAN  DOCTORATE
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
1103G00000XClinical Neuropsychologist35SI00532000NJ

General Provider Information

NPI Number : 1992182802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONA KRISHAN DOCTORATE
Provider Business Mailing Address
First Line : 2303 MIDDLEFIELD CT
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-3464
Country : US
Telephone Number : 973-722-7449
Fax Number :
Provider Business Practice Location Address
First Line : 3625 QUAKERBRIDGE RD
Second Line :
City : HAMILTON
State : NJ
Zip : 08619-1268
Country : US
Telephone Number : 609-890-8844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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Directions to “ MONA KRISHAN DOCTORATE” Practice Location

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