Individual
SUDHANSU CHOKROVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 632-1584
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
192236-1
NY
2084N0400X
Neurology Physician
Primary
25MA03599100
NJ
2084N0600X
Clinical Neurophysiology Physician
192236-1
NY
2084N0600X
Clinical Neurophysiology Physician
25MA03599100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3699102
—
NJ
Enumeration date
07/28/2005
Last updated
04/18/2008
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