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Individual
CHANTAL BRAZEAU
Active
Individual
CHANTAL BRAZEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04667000
NJ
2084P0800X
Psychiatry Physician
25MA04667000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1582305
—
NJ
Enumeration date
08/31/2006
Last updated
02/02/2022
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