Organization
CHASE MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENA LEVYKH-CHASE M.D. (PRESIDENT)
(201) 791-8689
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 791-8689
(201) 791-2589
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 791-8689
(201) 791-2589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA69109
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8296804
—
NJ
Enumeration date
06/07/2007
Last updated
01/15/2013
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