Individual
DR. YASHODHAN CHIVATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA10841700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
01/05/2017
Last updated
05/14/2021
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