MEDICARE: PUNEET CHOPRA MD

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	207P00000X	Emergency Medicine Physician	0101238668	VA

General Provider Information

NPI Number	:	1255548988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUNEET CHOPRA MD

Provider Business Mailing Address
First Line	:	PO BOX 11553
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07101-4553
Country	:	US
Telephone Number	:	301-921-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	13900 BALTIMORE AVE
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-5009
Country	:	US
Telephone Number	:	301-725-5652
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	03/03/2017

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