Individual
MR. CHUNILAL M KANSAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 DAVIS AVE, NEPTUNE, NJ 07753
(732) 776-4339
(732) 776-4544
Mailing address
PO BOX 106, 51 DAVIS AVE, NEPTUNE, NJ 07754-0106
(732) 776-4339
(732) 776-4544
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA30973
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223471515
AETNA
NJ
01
—
450713
MEDICARE
NJ
05
—
4611608
—
NJ
Enumeration date
12/27/2005
Last updated
09/17/2008
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