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General NPI Number Information
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NPI Number | 1275161911
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Entity Type | Individual
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Provider Name | CHANDRA ABIRAMI BALASUBRAMANIAPANDIAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 310 CENTRAL AVE STE 100
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2838
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Country | US
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Telephone | 862-520-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 25 POCONO RD
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City | DENVILLE
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State | NJ
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Zip | 07834-2954
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Country | US
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Telephone | 973-625-6000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA12675500
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License Number State | NJ
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