| Samia R. Chaudry Do Llc | |
|
41-04 Goldblatt Ter Fair Lawn NJ 07410-5911 | |
| (201) 797-7129 | |
| (201) 703-6982 |
| Full Name | Samia R. Chaudry Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 41-04 Goldblatt Ter, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Samia Chaudry (DOCTOR) |
| Authorized Official Contact | 2017977129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samia R. Chaudry Do Llc 41-04 Goldblatt Ter Fair Lawn NJ 07410-5911 Ph: (201) 797-7129 | Samia R. Chaudry Do Llc 41-04 Goldblatt Ter Fair Lawn NJ 07410-5911 Ph: (201) 797-7129 |
| NPI Number | 1922380856 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 04/11/2013 |
| Medicare PECOS PAC ID | 5991977928 |
|---|---|
| Medicare Enrollment ID | O20111017000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922380856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB08847900 (New Jersey) | Primary |
| Provider Name | Samia Riaz Chaudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366604605 PECOS PAC ID: 6800068834 Enrollment ID: I20111017000232 |
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