Provider Demographics
NPI:1972619187
Name:CHAUDRY, GHAZALI ANWAR (MD)
Entity type:Individual
Prefix:DR
First Name:GHAZALI
Middle Name:ANWAR
Last Name:CHAUDRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:115 STEPHENVILLE PKWY
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2610
Mailing Address - Country:US
Mailing Address - Phone:732-744-0707
Mailing Address - Fax:732-853-8313
Practice Address - Street 1:AZZ MEDICAL ASSOCIATES 1440 PENNINGTON RD #1
Practice Address - Street 2:EWING TOWNSHIP
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618
Practice Address - Country:US
Practice Address - Phone:609-890-1050
Practice Address - Fax:609-890-0950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-12-04
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Provider Licenses
StateLicense IDTaxonomies
NJ07704200208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ081940Medicare UPIN