Individual
CHANDRASHEKHAR DESHPANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 ELIZABETH AVE, ELIZABETH, NJ 07201-2708
(908) 353-6900
Mailing address
809 ELIZABETH AVE, ELIZABETH, NJ 07201-2708
(908) 353-6900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03474700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7561407I4S
—
NJ
Enumeration date
05/25/2016
Last updated
05/25/2016
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