Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | KACHADOURIAN, ANISE A. | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1205861861 | [sources] | |||
Sector | MD | [sources] | |||
Status | not available | [sources] | |||
Address | 2233 MORRIS AVENUE, SUITE B-, UNION, NJ 07083 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
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Address | ||
---|---|---|
Full address | Country | |
2233 MORRIS AVENUE, SUITE B-, UNION, NJ 07083 | United States |