| Norman Chazin Md Llc | |
|
199 New Rd Ste 61a Linwood NJ 08221-2029 | |
| (609) 926-7001 | |
| (609) 926-7004 |
| Full Name | Norman Chazin Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 199 New Rd Ste 61a, Linwood, New Jersey |
| Authorized Official Name and Position | Norman Chazin (OWNER) |
| Authorized Official Contact | 6097053221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Chazin Md Llc 199 New Rd Ste 61a Linwood NJ 08221-2029 Ph: (609) 926-7001 | Norman Chazin Md Llc 199 New Rd Ste 61a Linwood NJ 08221-2029 Ph: (609) 926-7001 |
| NPI Number | 1255684023 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 1052561339 |
|---|---|
| Medicare Enrollment ID | O20121023000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255684023 | NPI | - | NPPES |
| 463720 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 25MA04602100 (New Jersey) | Primary |
| Provider Name | Norman S Chazin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710970553 PECOS PAC ID: 2466471388 Enrollment ID: I20051121000132 |
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