Individual
SHAH NAWAZ CHAUDHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7240
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB11036800
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MB11036800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
08/22/2021
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