Organization Name: | MALIKA S. DE SILVA MD. INC |
NPI Number: | 1205051604 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MALIKA SHANI DE SILVA (ATTENDING) |
Mailing Address: | 1503 St Georges Ave Suite104 Colonia |
State: | NJ US |
Postal Code: | 070673427 |
Phone Number: | 7323885577 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | MA07781900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |