Basic Information
Provider Information
NPI: 1083121834
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAUHAN
FirstName: PRIYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APN
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 416457
Address2:  
City: BOSTON
State: MA
PostalCode: 022416457
CountryCode: US
TelephoneNumber: 8443621735
FaxNumber:  
Practice Location
Address1: 261 JAMES ST STE 1A
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 079606348
CountryCode: US
TelephoneNumber: 9735390333
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/02/2018
LastUpdateDate: 03/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X26NJ00668700NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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