MEDICARE: SHALOO CHOUDHARY OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	46TR00134200	NJ

General Provider Information

NPI Number	:	1184725343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHALOO CHOUDHARY OTR

Provider Business Mailing Address
First Line	:	1081 ROUTE 22
Second Line	:	SOMERSET ORTHOPEDICS ASSOCIATES PA
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-252-9700
Fax Number	:	908-252-0707

Provider Business Practice Location Address
First Line	:	1081 ROUTE 22
Second Line	:	SOMERSET ORTHOPEDICS ASSOCIATES PA
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-252-9700
Fax Number	:	908-252-0707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/21/2008

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