Individual
DR. JOHN CALVIN CHATLOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
973 HOLMDEL RD, HOLMDEL, NJ 07733-2124
(732) 834-0368
(732) 834-9891
Mailing address
973 HOLMDEL RD, HOLMDEL, NJ 07733-2124
(732) 834-0368
(732) 834-9891
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MA 46262
NJ
2084P0800X
Psychiatry Physician
Primary
MA46262
NJ
2084P0802X
Addiction Psychiatry Physician
MA 46262
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
MA 46262
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2508206
—
NJ
01
—
372324
MEDICARE PTAN
NJ
Enumeration date
07/01/2005
Last updated
04/18/2016
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