Individual
DR. ILMIA B CHOUDHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8100
Mailing address
66 W GILBERT ST, SUITE 100, TINTON FALLS, NJ 07701-4918
(721) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD033732L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419572
BLUE SHIELD
PA
01
—
817947
FIRST PRIORITY HEALTH
PA
Enumeration date
08/15/2005
Last updated
07/08/2007
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