Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MA10375500 | NJ |
NPI | 1003072034 |
---|---|
Provider Name | Rajeshree Prashant Chinchankar |
First Address | Boston, MA 02241-9430 |
Second Address | Dumont, NJ 07628-3066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 05/10/2018 |