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NPI Code Detail

MEDICARE: JAGJIT CHAWLA M.D.

MEDICARE: JAGJIT CHAWLA M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician25MA03311700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10085773000OTHERNJBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568462695
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGJIT CHAWLA M.D.
Provider Business Mailing Address
First Line : PO BOX 60100
Second Line :
City : CHARLESTON
State : SC
Zip : 29419-0100
Country : US
Telephone Number : 609-922-0116
Fax Number :
Provider Business Practice Location Address
First Line : 175 MADISON AVE
Second Line :
City : MOUNT HOLLY
State : NJ
Zip : 08060-2038
Country : US
Telephone Number : 609-922-0116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2010

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