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Individual

DR. MARK J. CHELDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
28 S NEW YORK RD, SUITE B-5, GALLOWAY, NJ 08205-9695
(800) 783-7930
(800) 783-7930
Mailing address
325 E JIMMIE LEEDS RD, #119, GALLOWAY, NJ 08205-4126
(800) 783-7930
(800) 783-7930

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PS-005007-L
PA
103G00000X
Clinical Neuropsychologist
Primary
SI 03735
NJ

Other

Enumeration date
01/10/2007
Last updated
05/19/2014
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