Organization
CITI WIDE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIMA RAFIQ CHAUDHRY DPM (PODIATRIST)
(201) 315-4168
Entity
Organization
Contact information
Practice address
2727 KENNEDY BLVD, JERSEY CITY, NJ 07306-5507
(201) 333-2700
(212) 996-5562
Mailing address
2727 KENNEDY BLVD, JERSEY CITY, NJ 07306-5507
(201) 333-2700
(212) 996-5562
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006361
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497073258
—
NY
Enumeration date
04/11/2012
Last updated
01/20/2021
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