| Doctor Name: | VANAJA MOHAN |
| NPI Number: | 1780056119 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-C |
| License Number: | 26NJ00587900 |
| Business Practice Address: | 252 Route 601 Belle Mead, NJ - 085023923 |
| Business Phone Number: | 9082811000 |
| Business Fax Number: | |
| Mailing Address: | 319 Old York Rd, BRIDGEWATER |
| State: | NJ |
| Postal Code: | 088072677 |
| Phone Number: | 9086555935 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2015 |
| NPI Last Update Date: | 10/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 26NJ00587900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |