Healthcare Provider Details

I. General information

NPI: 1609840602
Provider Name (Legal Business Name): ARUN KACHROO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 MAIN ST BLDG D
LUMBERTON NJ
08048-5043
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 609-261-7600
  • Fax: 609-265-8205
Mailing address:
  • Phone: 856-355-0340
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA06691500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: