Individual
UVADEE CHAIBONGSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2130 MILLBURN AVENUE, MAPLEWOOD, NJ 07040
(973) 912-0404
(973) 912-0444
Mailing address
2130 MILLBURN AVENUE, MAPLEWOOD, NJ 07040
(973) 912-0404
(973) 912-0444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA03808100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3615308
—
NJ
Enumeration date
05/23/2006
Last updated
05/01/2008
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