Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 25MA10525000 | NJ |
NPI | 1013351675 |
---|---|
Provider Name | Natasha Chhabra |
First Address | Woodland Park, NJ 07424 |
Second Address | Woodland Park, NJ 07424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 05/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0682977 | (05) | NJ |