Provider Demographics
NPI:1275220493
Name:CHOHAN, MUJTABA MASOOD (DO)
Entity Type:Individual
Prefix:DR
First Name:MUJTABA
Middle Name:MASOOD
Last Name:CHOHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E. LAUREL ROAD
Mailing Address - Street 2:ADMIN OFFICE
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084
Mailing Address - Country:US
Mailing Address - Phone:609-206-4068
Mailing Address - Fax:
Practice Address - Street 1:18 E. LAUREL ROAD
Practice Address - Street 2:ADMIN OFFICE
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084
Practice Address - Country:US
Practice Address - Phone:609-206-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program