Organization
CHADDERWALA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY CHADDERWALA DO (OWNER)
(917) 399-3800
Entity
Organization
Contact information
Practice address
7116 GRAND AVE, MASPETH, NY 11378-1823
(718) 307-1577
Mailing address
24833 89TH AVE, BELLEROSE, NY 11426-1901
(917) 399-3800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/20/2023
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