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Mira Chakravarty, MD
Specialist in Edison, New Jersey
NPI 1073719258

Mira Chakravarty is a Specialist based in Edison, NJ. Mira Chakravarty practices in Edison, NJ and has the professional credentials of MD. The NPI Number for Mira Chakravarty is 1073719258 and holds a License No. 25MA03783000 (New Jersey).

The current practice location address for Mira Chakravarty is 3840 Park Avenue, Edison, NJ and can be reached out via phone at 732-494-9061 and via fax at 732-494-5571. You can also correspond with Mira Chakravarty through the mailing address at 3840 PARK AVE, EDISON, NJ - 08820-2563 (mailing address contact number: 732-494-9061).

Location: 3840 Park Avenue, Edison, NJ, 08820-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073719258
Provider Name
Mira Chakravarty
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3840 Park Avenue, Edison, NJ, 08820-2563
Phone Number
732-494-9061
Fax Number
732-494-5571
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3840 Park Avenue
City
Edison
State
New Jersey
Zip
08820
Phone Number
732-494-9061
Fax Number
732-494-5571
person
Provider Business Mailing Address Details
Address
3840 Park Avenue
City
Edison
State
New Jersey
Zip
08820
Phone Number
732-494-9061
Fax Number
732-494-5571
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA03783000 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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