Most Relevant Information
Provider Data
| NPI Number: | 1003340654 |
| Provider Name: | SRINIWASAN MANI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2017 |
| Last Updated: | 10/27/2023 |
Provider Practice Location
1028 ROBIN CT
GREEN BROOK
NJ
088121736
Practice Location Phone/Fax
| Phone: | 6303450559 |
| Fax: |
Provider Mailing Location
1028 ROBIN CT
GREEN BROOK
NJ
088121736
Provider Mailing Phone/Fax
| Phone: | 6303450559 |
| Fax: |