Doctor Name: | SNEHA MISHRA |
NPI Number: | 1427351600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 74516 |
Business Practice Address: | 391 Springfield Ave Suite 1b Berkeley Heights, NJ - 079221174 |
Business Phone Number: | 9086651177 |
Business Fax Number: | 9086658420 |
Mailing Address: | Po Box 118, BERKELEY HEIGHTS |
State: | NJ |
Postal Code: | 079220118 |
Phone Number: | 9086651177 |
Fax Number: | 9086658420 |
NPI Enumeration Date: | 12/10/2010 |
NPI Last Update Date: | 10/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 74516 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ZZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |