Main Street Medical Providers LLC
NPI #1790497444 in Parsippany, New Jersey
Provider Information
- NPI Number
- 1790497444
- Entity Type
- Organization
- Organization Name
- Main Street Medical Providers LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 14, 2022
- Last Updated
- Dec 14, 2022
Practice Location
- Address
- 65 LEAH WAY
- City
- Parsippany
- State
- New Jersey
- ZIP Code
- 07054-3448
- Phone
- (551) 223-7912
Authorized Official
- Name
- DR. SANTHOSH CHAKILAM, MD
- Title
- OWNER
- Phone
- (551) 223-7912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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