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Organization

JOHN A. CHUBACK, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ASHGAR CHUBACK M.D. (PRESIDENT)
(201) 261-1772
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
10/01/2007
Last updated
01/24/2019
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