Doctor Name: | RAJNISH CHAWLA |
NPI Number: | 1932197456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA76208 |
Business Practice Address: | 3840 Quakerbridge Rd Bldg 2, Suite 110 Mercerville, NJ - 086191003 |
Business Phone Number: | 6098904200 |
Business Fax Number: | 6095860399 |
Mailing Address: | 1545 Harbourton Rocktown Rd, LAMBERTVILLE |
State: | NJ |
Postal Code: | 085303003 |
Phone Number: | 6098904200 |
Fax Number: | 6095860399 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA76208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |