Provider Demographics
NPI:1437599891
Name:GEORGE, BINDU P
Entity type:Individual
Prefix:MRS
First Name:BINDU
Middle Name:P
Last Name:GEORGE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BINDU
Other - Middle Name:P
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:511 SEATON AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-1519
Mailing Address - Country:US
Mailing Address - Phone:908-764-3670
Mailing Address - Fax:
Practice Address - Street 1:511 SEATON AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1519
Practice Address - Country:US
Practice Address - Phone:908-764-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00441500363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care