Individual
DR. NEELAM CHARAIPOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 LAKE AVE, COLONIA, NJ 07067-1323
(732) 396-4744
(732) 396-9604
Mailing address
80 LAKE AVE, COLONIA, NJ 07067-1323
(732) 396-4744
(732) 396-9604
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA04259400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA04259400
NJ STATE MEDICAL LICENSE
NJ
05
—
3834808
—
NJ
01
—
D036018
CDS #
NJ
Enumeration date
10/03/2006
Last updated
03/07/2023
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