Chudasama, Lalji S
Chudasama, Lalji S is an individual health care provider with primary practice located at 1101 Raritan Rd , Clark NJ 07066-1315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chudasama, Lalji S can be contacted via phone (732) 381-3055.Contact Information
Primary practice address
1101 Raritan Rd
Clark NJ 07066-1315
Phone: (732) 381-3055
Fax: (732) 815-9330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA03264200 | New Jersey |
Profile Details
| NPI number | 1174519250 |
|---|---|
| LBN Legal business name | Chudasama, Lalji S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174519250 | NPPES |
| New Jersey | MEDICAID | 2989409 |
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