Diane Chazen, Llc | |
55 Morris Ave Suite 216 Springfield NJ 07081-1426 | |
(973) 379-8900 | |
(973) 379-0580 |
Full Name | Diane Chazen, Llc |
---|---|
Speciality | Internal Medicine |
Location | 55 Morris Ave, Springfield, New Jersey |
Authorized Official Name and Position | Lisa Wright (OFFICE MANAGER) |
Authorized Official Contact | 9733798900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diane Chazen, Llc 55 Morris Ave Suite 216 Springfield NJ 07081-1426 Ph: (973) 379-8900 | Diane Chazen, Llc 55 Morris Ave Suite 216 Springfield NJ 07081-1426 Ph: (973) 379-8900 |
NPI Number | 1053549907 |
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Provider Enumeration Date | 06/30/2009 |
Last Update Date | 06/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053549907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA04305400 (New Jersey) | Primary |
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