Individual
IRM CHOUDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 TEXAS RD, OLD BRIDGE, NJ 08857-4008
(732) 561-3402
Mailing address
4 KENT CT, PRINCETON, NJ 08540-6116
(917) 930-0373
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA02159400
NJ
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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