Provider Demographics
NPI:1265231849
Name:SWARNA, MANJARI (PA)
Entity type:Individual
Prefix:
First Name:MANJARI
Middle Name:
Last Name:SWARNA
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 E COS COB DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-3719
Mailing Address - Country:US
Mailing Address - Phone:609-742-8579
Mailing Address - Fax:
Practice Address - Street 1:344 E COS COB DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-3719
Practice Address - Country:US
Practice Address - Phone:609-742-8579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program