Individual
DR. PREETI CHAURASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
(609) 914-6182
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08661600
NJ
208M00000X
Hospitalist Physician
Primary
25MA08661600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00815873
RAILROAD MEDICARE
NJ
Enumeration date
10/08/2009
Last updated
12/15/2020
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