Chandra, Shakuntala

Chandra, Shakuntala is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Chandra, Shakuntala can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Fax: (732) 249-9572
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MA71329 New Jersey

Profile Details

NPI number 1154386514
LBN Legal business name Chandra, Shakuntala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154386514 NPPES
New Jersey Other 05387527 ECFMG/ISSUED 3/22/96
New Jersey MEDICAID 0033383 ECFMG/ISSUED 3/22/96

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