Individual
MR. SHAVAR ALTEREC CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-BC
Contact information
Practice address
1631 LAWRENCE ST, RAHWAY, NJ 07065-5144
(862) 596-8209
Mailing address
PO BOX 266, MONTCLAIR, NJ 07042-0266
(862) 596-8209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01018500
NJ
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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