Individual
ALBERTO M CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 STAMFORD DR, JACKSON, NJ 08527-4479
(908) 642-0144
Mailing address
93 STAMFORD DR, JACKSON, NJ 08527-4479
(908) 642-0144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA04140000
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA04140000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3853501
—
NJ
Enumeration date
05/12/2006
Last updated
04/30/2019
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