Provider Demographics
NPI:1558435313
Name:CHAUDHARI, DEVESH M (PHARMD,RPH, MSOM,LAC)
Entity Type:Individual
Prefix:
First Name:DEVESH
Middle Name:M
Last Name:CHAUDHARI
Suffix:
Gender:M
Credentials:PHARMD,RPH, MSOM,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3911
Mailing Address - Country:US
Mailing Address - Phone:856-780-7532
Mailing Address - Fax:
Practice Address - Street 1:404 CREEK RD
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3911
Practice Address - Country:US
Practice Address - Phone:856-780-7532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001009171100000X
NY004635171100000X
NJ28RI03020600183500000X
PARP446177183500000X, 183500000X
NJ25MZ00084900171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No183500000XPharmacy Service ProvidersPharmacist