Provider Demographics
NPI:1598929895
Name:SILK, MAANASI PURANIK (DO)
Entity Type:Individual
Prefix:
First Name:MAANASI
Middle Name:PURANIK
Last Name:SILK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MAANASI
Other - Middle Name:
Other - Last Name:PURANIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:108 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-2120
Mailing Address - Country:US
Mailing Address - Phone:540-960-1059
Mailing Address - Fax:
Practice Address - Street 1:2500 ENGLISH CREEK AVE
Practice Address - Street 2:BUILDING 200, SUITE 214
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:609-677-7211
Practice Address - Fax:609-677-7210
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09313900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology