Jose M Chavez-cacho, MD | |
61 Passaic Avenue, Passaic, NJ 07055 | |
(973) 473-5053 | |
(973) 574-9430 |
Full Name | Jose M Chavez-cacho |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 61 Passaic Avenue, Passaic, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497854236 | NPI | - | NPPES |
5337101 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 25MA058212 (New Jersey) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 25MA058212 (New Jersey) | Primary |
Entity Name | Women And Children Primary Care Of Passaic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831278282 PECOS PAC ID: 9234188087 Enrollment ID: O20050119000287 |
Mailing Address | Practice Location Address |
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Jose M Chavez-cacho, MD 61 Passaic Avenue, Passaic, NJ 07055 Ph: (973) 473-5053 | Jose M Chavez-cacho, MD 61 Passaic Avenue, Passaic, NJ 07055 Ph: (973) 473-5053 |
Dr. Milinda Ruth Carson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 203 Passaic Ave, Passaic, NJ 07055 Phone: 973-246-6999 Fax: 973-685-7340 | |
Orli Langer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 363 Boulevard # 1r, Passaic, NJ 07055 Phone: 973-614-1171 Fax: 973-807-1943 | |
Dr. Shahrokh Ahkami, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 110 Passaic Ave, Passaic, NJ 07055 Phone: 973-471-9585 Fax: 973-471-8534 |