Organization
OMNJ DIVISION TWO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARSHVARDHAN CHAOBAL DO (OWNER)
(718) 255-6391
Entity
Organization
Contact information
Practice address
694 MAIN ST # 257, NEW YORK, NY 10044-0027
(718) 255-6391
(718) 255-6392
Mailing address
694 MAIN ST # 257, NEW YORK, NY 10044-0027
(718) 255-6391
(718) 255-6392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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