| Manasa Health Center. Llc | |
|
2 Caitlin Ct Princeton NJ 08540-9496 | |
| (732) 230-2529 | |
| (732) 274-2776 |
| Full Name | Manasa Health Center. Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2 Caitlin Ct, Princeton, New Jersey |
| Authorized Official Name and Position | Nidagalle Gowda (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7322302529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manasa Health Center. Llc 3084 State Route 27 Ste 7 Kendall Park NJ 08824-1657 Ph: (732) 230-2529 | Manasa Health Center. Llc 2 Caitlin Ct Princeton NJ 08540-9496 Ph: (732) 230-2529 |
| NPI Number | 1629459953 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629459953 | NPI | - | NPPES |
| 0124729 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07869800 (New Jersey) | Primary |
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