Individual
CHANAKYA BAVISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
42 E LAUREL RD STE 1700, STRATFORD, NJ 08084-1354
(856) 566-7010
(856) 566-6956
Mailing address
42 E LAUREL RD STE 1700, STRATFORD, NJ 08084-1354
(856) 566-7010
(856) 566-6956
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
25MB11945800
NJ
Other
Enumeration date
06/11/2018
Last updated
01/27/2026
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