Individual
HARISH CHANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 RIVER AVE STE 140, SHORE MEDICAL SPECIALISTS, LAKEWOOD, NJ 08701-4743
(732) 363-7200
(732) 363-8183
Mailing address
500 RIVER AVE STE 140, SHORE MEDICAL SPECIALISTS, LAKEWOOD, NJ 08701-4743
(732) 363-7200
(732) 363-8183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29717
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0612901
—
NJ
Enumeration date
08/16/2005
Last updated
07/22/2011
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