| Chase Medical Group, Pc | |
|
19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 | |
| (201) 791-8689 | |
| (201) 791-2589 |
| Full Name | Chase Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19-21 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Rena Levykh-chase (PRESIDENT) |
| Authorized Official Contact | 2017918689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Medical Group, Pc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 791-8689 | Chase Medical Group, Pc 19-21 Fair Lawn Ave Fair Lawn NJ 07410-2331 Ph: (201) 791-8689 |
| NPI Number | 1417150293 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 01/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417150293 | NPI | - | NPPES |
| 8296804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA69109 (New Jersey) | Primary |
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