Organization
LALJI S. CHUDASAMA MD FACC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LALJI CHUDASAMA MD (PRESIDENT)
(732) 381-3055
Entity
Organization
Contact information
Practice address
1101 RARITAN RD, CLARK, NJ 07066-1315
(732) 381-3055
(732) 815-9330
Mailing address
1101 RARITAN RD, CLARK, NJ 07066-1315
(732) 381-3055
(732) 815-9330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03264200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008613
—
NJ
Enumeration date
06/25/2006
Last updated
01/31/2011
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