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Individual

CHANDRA CHINTAPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4131
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 827450, PHILADELPHIA, PA 19182-7450
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA07416700
NJ
207P00000X
Emergency Medicine Physician
Primary
M4735
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0057QR
BCBS
TX
05
8917400
NJ
Enumeration date
06/03/2006
Last updated
04/16/2008
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