MEDICARE: NAVEEN CHIGURUPATI

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	183500000X	Pharmacist	28RI03509500	NJ

General Provider Information

NPI Number	:	1457797086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVEEN CHIGURUPATI

Provider Business Mailing Address
First Line	:	205 S ESSEX AVE
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 S ESSEX AVE
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-3401
Country	:	US
Telephone Number	:	973-677-2800
Fax Number	:	973-674-8864

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

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	05/22/2013

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Directions to “ NAVEEN CHIGURUPATI ” Practice Location

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