Individual
DR. ANISE A KACHADOURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 259-8817
(908) 259-8846
Mailing address
776 E 3RD AVE, ROSELLE, NJ 07203-1698
(908) 259-8817
(908) 259-8846
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA71654
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RH0003X
TAXONOMY CODE
NJ
01
—
25MA07165400
CDS
NJ
05
—
9113304
—
NJ
Enumeration date
05/03/2006
Last updated
03/18/2008
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