Whalio Doctors

NPI 1003287715

Maneyapanda LLC

Organisation Family Medicine Physician Clifton, NJ

Practice location

Address
1135 Clifton Ave 203, Clifton, NJ 07013-3642
Phone
(862) 414-3335
Mailing address
22 Henoch Ave, Clifton, NJ 07013-1563

Authorised official

Name
Mukundha Belliappa Maneyapanda
Title
Owner
Phone
(862) 414-3335

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA09694000 (NJ)

Registry record

NPI
1003287715
Entity type
Organization
NPI issued
8 Oct 2015
Record last updated
29 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.