Provider Demographics
NPI:1114960705
Name:CHAUDHARY, JIGISHA SHANKARBHAI (MBBS)
Entity Type:Individual
Prefix:DR
First Name:JIGISHA
Middle Name:SHANKARBHAI
Last Name:CHAUDHARY
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1503 SAINT GEORGES AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-3425
Mailing Address - Country:US
Mailing Address - Phone:732-382-8111
Mailing Address - Fax:732-382-7766
Practice Address - Street 1:1503 SAINT GEORGES AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-3425
Practice Address - Country:US
Practice Address - Phone:732-382-8111
Practice Address - Fax:732-382-7766
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07812900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics