Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH K MAMMEN-PRASAD, MD
Active Sole ProprietorELIZABETH K MAMMEN-PRASAD, MD is a Pediatric Infectious Diseases healthcare provider located in IRVINGTON, New Jersey. NPI 1366411084 is currently active in the NPPES registry. Verify at CMS.
Pediatric Infectious Diseases · IRVINGTON, NJ
Registration Details
- NPI Number
- 1366411084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2006 (20.43968984843 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25MA05474200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 UNION AVESUITE# 603IRVINGTON, NJ, 071113262Browse NJ providers · Browse ZIP 07111
- Phone
- 9733999250
- Fax
- 7322526634
- Primary Specialty
-
Pediatric Infectious Diseases
2080P0208X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.