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Individual

WALTER E CHAVEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
918 SOUTH AVE W, WESTFIELD, NJ 07090-1415
(201) 650-0903
(908) 233-2267
Mailing address
PO BOX 39, WESTFIELD, NJ 07091-0039
(201) 650-0903
(908) 233-2267

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00278100
NJ

Other

Enumeration date
10/05/2010
Last updated
10/05/2010
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