Individual
DR. CHAD JASON ITZKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2740 STATE ROUTE 10, SUITE 104, MORRIS PLAINS, NJ 07950
(973) 200-8224
(973) 695-1324
Mailing address
PO BOX 305, MORRIS PLAINS, NJ 07950-0305
(973) 200-8224
(973) 695-1324
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08040300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102686
—
NJ
Enumeration date
04/26/2006
Last updated
08/20/2018
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