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Mandakini Dantuluri

NPI 1538491352 · on the registry since 2010 · sole proprietor

Practice

Address
1 Maywood Ave
Maywood, NJ 07607
Phone
(201) 845-3287
Organisation at this address
Eastern Dme Llc
Optum Medical Care Of New Jersey Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey