Basic Information
| Provider Information | |||||||||
| NPI: | 1841219953 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHOKHAVATIA | ||||||||
| FirstName: | SITA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 PATERSON STREET ROBERT WOOD JOHNSON MEDICAL GROUP | ||||||||
| Address2: | CLINICAL ACADEMIC BUILDING | ||||||||
| City: | NEW BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 09801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322357784 | ||||||||
| FaxNumber: | 7322357792 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 PATERSON ST ROBERT WOOD JOHNSON MEDICAL GROUP | ||||||||
| Address2: | CLINICAL ACADEMIC BUILDING | ||||||||
| City: | NEW BRUNSWICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 09801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322357784 | ||||||||
| FaxNumber: | 7322357792 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2006 | ||||||||
| LastUpdateDate: | 09/26/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 042969 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.