Organization
MANSOORA CHAUDRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOORA CHAUDRY MD (OWNER)
(201) 797-7129
Entity
Organization
Contact information
Practice address
41-04 GOLDBLATT TER, FAIR LAWN, NJ 07410-5911
(201) 797-7129
Mailing address
41-04 GOLDBLATT TER, FAIR LAWN, NJ 07410-5911
(201) 797-7129
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MA03418
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5277809
—
NJ
Enumeration date
05/22/2006
Last updated
06/03/2008
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