# JOHN A. CHUBACK, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053508325
- **Authorized official:** DR. JOHN ASHGAR CHUBACK M.D. (PRESIDENT)
- **Authorized official phone:** (201) 261-1772

## Contact information

- **Practice address:** 205 ROBIN RD STE 333, PARAMUS, NJ 07652-1424
- **Practice address phone:** (201) 261-1772
- **Practice address fax:** (201) 261-1776
- **Mailing address:** 205 ROBIN RD STE 333, PARAMUS, NJ 07652-1424
- **Mailing address phone:** (201) 261-1772
- **Mailing address fax:** (201) 261-1776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | MA65556 | NJ | Yes |
| 363A00000X | Physician Assistant | 25MP00124400 | NJ | — |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 01/24/2019
