Provider Demographics
NPI:1427381888
Name:CHAWLA, MADHU MALA (BSC HONS PT)
Entity Type:Individual
Prefix:MS
First Name:MADHU
Middle Name:MALA
Last Name:CHAWLA
Suffix:
Gender:F
Credentials:BSC HONS PT
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Mailing Address - Street 1:23 LEWIS DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5666
Mailing Address - Country:US
Mailing Address - Phone:908-242-9416
Mailing Address - Fax:908-393-6938
Practice Address - Street 1:23 LEWIS DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-5666
Practice Address - Country:US
Practice Address - Phone:908-242-9416
Practice Address - Fax:908-393-6938
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-16
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO7375225100000X
NJ40QA00952800225100000X
IN05006067A225100000X
NY023032-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist