Individual
CHAMPA VELJI BID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 EAGLE ROCK AVENUE, WEST ORANGE, NJ 07052
(973) 669-2552
(973) 669-1771
Mailing address
3 YALE COURT, LIVINGSTON, NJ 07039
(973) 641-8702
(973) 669-1771
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA03104500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10651917
CAQH
—
05
—
8126704
—
NJ
Enumeration date
08/03/2006
Last updated
07/08/2007
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