Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 243813 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MB08630700 | NJ |
NPI | 1093970923 |
---|---|
Provider Name | Dr. Chirag N Boradia |
First Address | Livingston, NJ 07039-5604 |
Second Address | Livingston, NJ 07039-5604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 19/08/2019 |