MEDICARE: DILIGENT MEDICAL CARE PC

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	207R00000X	Internal Medicine Physician	25MA07811600	NJ

General Provider Information

NPI Number	:	1508159377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DILIGENT MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	570 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-758-7250
Fax Number	:	201-758-7251

Provider Business Practice Location Address
First Line	:	570 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-758-7250
Fax Number	:	201-758-7251

Authorized Official
Title or Position	:	MD/OWNER
Name	:	MOHAMMAD AMAR CHAUDHRY
Credential	:	MD
Telephone Number	:	551-265-6013

Provider Enumeration Date	:	05/26/2011
Last Update Date	:	02/14/2022

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