Dr ELIZABETH K MAMMEN-PRASAD is a female medical professional, specializing in Infectious Disease. She graduated in 1984.
50 UNION AVE
SUITE 603
IRVINGTON
NJ
071113262
Tel: 9733999250
| Npi | 1366411084 |
| Pac Id | 8628264322 |
| Professional Enrollment Id | I20101119000962 |
| Last Name | MAMMEN-PRASAD |
| First Name | ELIZABETH |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1984 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 50 UNION AVE |
| Line 2 Street Address | SUITE 603 |
| Marker Of Address Line 2 Suppression | |
| City | IRVINGTON |
| State | NJ |
| Zip Code | 071113262 |
| Phone Number | 9733999250 |
| Hospital Affiliation Ccn 1 | 310002 |
| Hospital Affiliation Lbn 1 | NEWARK BETH ISRAEL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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