Individual
DR. RENA LEVYKH-CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 791-8689
(201) 791-2589
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 791-8689
(201) 791-2589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA69109
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8296804
—
NJ
Enumeration date
01/08/2007
Last updated
01/15/2013
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