Individual
EVERETT THOMAS CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
12 ROBERTS DR, SOMERDALE, NJ 08083-2424
(856) 627-2966
Mailing address
12 ROBERTS DR, SOMERDALE, NJ 08083-2424
(856) 627-2966
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO10240400
NJ
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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