Healthcare Provider Details

I. General information

NPI: 1972619187
Provider Name (Legal Business Name): GHAZALI ANWAR CHAUDRY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AZZ MEDICAL ASSOCIATES 1440 PENNINGTON RD #1 EWING TOWNSHIP
EWING NJ
08618
US

IV. Provider business mailing address

115 STEPHENVILLE PKWY
EDISON NJ
08820-2610
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-1050
  • Fax: 609-890-0950
Mailing address:
  • Phone: 732-744-0707
  • Fax: 732-853-8313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number07704200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number143099
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number228012
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: