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Individual

JOHN CHOVANES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-3014
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS012017
PA
2086S0102X
Surgical Critical Care Physician
OS012017
PA
2086S0127X
Trauma Surgery Physician
Primary
25MB08735500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MB08735500
STATE LICENSE
NJ
Enumeration date
12/29/2006
Last updated
05/14/2019
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