Individual
JAGJIT CHAWLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 922-0116
Mailing address
PO BOX 60100, CHARLESTON, SC 29419-0100
(609) 922-0116
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03311700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085773000
BLUE CROSS BLUE SHIELD
NJ
05
—
0204005
—
NJ
Enumeration date
07/29/2005
Last updated
07/08/2010
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