=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740335074
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RASHMI RAMCHANDANI DDS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2007
-----------------------------------------------------
Last Update Date | 09/22/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 616 AMBOY AVE
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07095-3164
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-326-9800
-----------------------------------------------------
Fax | 732-326-0098
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | POBOX 219
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07095
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-326-9800
-----------------------------------------------------
Fax | 732-326-0098
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RASHMI K RAMCHANDANI
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 732-326-9800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | DI20069
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------