Provider Demographics
NPI:1811215767
Name:CHANDA, ARUNA JWALA
Entity Type:Individual
Prefix:
First Name:ARUNA
Middle Name:JWALA
Last Name:CHANDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 FREEDOMWAY
Mailing Address - Street 2:405
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-6401
Mailing Address - Country:US
Mailing Address - Phone:609-532-6800
Mailing Address - Fax:
Practice Address - Street 1:1366 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1343
Practice Address - Country:US
Practice Address - Phone:973-778-2940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-16
Last Update Date:2010-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03099700183500000X
WI14608-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist