Individual
MANJULA S CHIDAMBARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 741-2700
(732) 358-0605
Mailing address
PO BOX 297, MANASQUAN, NJ 08736-0297
(732) 899-0868
(732) 899-5167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05820200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7709005
—
NJ
Enumeration date
07/17/2006
Last updated
08/26/2025
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