Provider Demographics
NPI:1093970923
Name:BORADIA, CHIRAG N (DO)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:N
Last Name:BORADIA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:22 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5604
Mailing Address - Country:US
Mailing Address - Phone:973-535-8870
Mailing Address - Fax:973-535-8818
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-535-8870
Practice Address - Fax:973-535-8818
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2019-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY243813207RE0101X
NJ25MB08630700207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism