Search › New Jersey › 183500000X
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 PcInferred 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