Individual
LAURA MONICA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
680 BROADWAY STE 5C, PATERSON, NJ 07514-1525
(973) 523-3400
(973) 341-7438
Mailing address
22-18 BROADWAY STE 201, FAIR LAWN, NJ 07410-3016
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MB072498
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8843601
—
NJ
Enumeration date
10/11/2006
Last updated
12/17/2024
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