Provider Demographics
NPI:1255616686
Name:CHADHA, GEETA (RPH)
Entity type:Individual
Prefix:
First Name:GEETA
Middle Name:
Last Name:CHADHA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:GEETA
Other - Middle Name:
Other - Last Name:CHADHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:6001 A HADLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080
Mailing Address - Country:US
Mailing Address - Phone:908-561-5675
Mailing Address - Fax:
Practice Address - Street 1:6001 HADLEY RD # A
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1195
Practice Address - Country:US
Practice Address - Phone:908-561-5675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02998100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist