Individual
DR. SUJALA CHIRLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
695 CHESTNUT ST, UNION, NJ 07083-7200
(908) 688-6565
(908) 688-3161
Mailing address
695 CHESTNUT ST, UNION, NJ 07083-7200
(908) 688-6565
(908) 688-3161
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA09139900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102340407
—
PA
01
—
2116065
PA BLUE SHIELD
—
01
—
6909792
AETNA
PA
Enumeration date
06/23/2008
Last updated
02/20/2013
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