Individual
MR. ADEL B. CHAOUCH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 HADDON AVE, CAMDEN, NJ 08103-3121
(856) 966-9500
(856) 966-9800
Mailing address
1450 HADDON AVE, CAMDEN, NJ 08103-3121
(856) 966-9500
(856) 966-9800
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VIPT00617
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000275100
AMERICHOICE OF NEW JERSEY
NJ
01
—
1140891
HORIZON NJ HEALTH
NJ
01
—
2K0677
HEALTH NET
NJ
05
—
7277504
—
NJ
01
—
89926
AMERIGROUP
NJ
Enumeration date
04/17/2007
Last updated
03/02/2011
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