Shan Nagendra,m.d.p.c.
NPI #1174705776 in Bayonne, New Jersey
Provider Information
- NPI Number
- 1174705776
- Entity Type
- Organization
- Organization Name
- Shan Nagendra,m.d.p.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 654 AVENUE C
- City
- Bayonne
- State
- New Jersey
- ZIP Code
- 07002-3899
- Phone
- (201) 823-3390
Authorized Official
- Name
- DR. SHAN NAGENDRA, M.D.
- Title
- OWNER
- Phone
- (201) 823-3390
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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