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Individual

PATRICK K CHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 FAIRVIEW AVENUE, WESTWOOD, NJ 07675
(201) 666-4014
(201) 666-4754
Mailing address
PO BOX 698, 300 FAIRVIEW AVENUE, WESTWOOD, NJ 07675
(201) 666-4014
(201) 666-4754

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05499500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180022258
RR MEDICARE
01
222103828
BCBS
05
6547702
NJ
Enumeration date
04/28/2006
Last updated
11/13/2007
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