Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 25 MA08800100 | NJ |
NPI | 1003086398 |
---|---|
Provider Name | Dr. Mrunalini Raghunath Chavarkar |
First Address | Hillsborough, NJ 08844-7056 |
Second Address | Flemington, NJ 08822-4603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2008 |
Last Update Date | 09/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1005126 | (05) | LA |