Individual
DR. ANDREI KACHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 PARSONAGE RD, SUITE 118, EDISON, NJ 08837-2429
(732) 494-9400
Mailing address
10 PARSONAGE RD, SUITE 118, EDISON, NJ 08837-2429
(732) 494-9400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03473500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0563110
AETNA HMO ID #
NJ
01
—
13A631
EMPIRE BC/BS OF NY EDISON
NY
01
—
13A632
EMPIRE BC OLD BRIDGE
NJ
01
—
340005178
RR MEDICARE ID #
NJ
01
—
4249998
AETNA PPO ID #
NJ
01
—
5709963
GHI PPO ID #
NJ
01
—
MS187
OXFORD ID #
NJ
Enumeration date
08/15/2006
Last updated
03/14/2011
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