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Organization

FAMILY CARE PA

Active
Other names
John Chafos MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN NICK CHAFOS MD (OWNER DIRECTOR)
(732) 968-8832
Entity
Organization

Contact information

Practice address
257 RT 22 EAST, GREEN BROOK, NJ 08812
(732) 968-8832
(732) 968-2187
Mailing address
257 RT 22 EAST, GREEN BROOK, NJ 08812
(732) 968-8832
(732) 968-2187

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA05399400
NJ
207R00000X
Internal Medicine Physician
Primary
25MA05399400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA05399400
LICENSE NUMBER
NJ
Enumeration date
10/31/2006
Last updated
06/14/2012
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