Provider Demographics
NPI:1700693348
Name:SEASON CLINICAL CARE NJ PC
Entity type:Organization
Organization Name:SEASON CLINICAL CARE NJ PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNEER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-816-5169
Mailing Address - Street 1:1710 KELLER PKWY # 6565
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3749
Mailing Address - Country:US
Mailing Address - Phone:888-807-4117
Mailing Address - Fax:
Practice Address - Street 1:1719 NJ-10
Practice Address - Street 2:SUITE 300, OFFICE 303
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054
Practice Address - Country:US
Practice Address - Phone:888-807-4117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty