Provider Demographics
NPI:1689744807
Name:CHAUDHRY, M ANWAR (MD)
Entity Type:Individual
Prefix:MR
First Name:M
Middle Name:ANWAR
Last Name:CHAUDHRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 UNION AVENUE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:908-722-0370
Mailing Address - Fax:908-722-9219
Practice Address - Street 1:215 UNION AVENUE
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-722-0370
Practice Address - Fax:908-722-9219
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ025252207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0873802Medicaid
NJ0873802Medicaid
C52990Medicare UPIN