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Individual

JOSE M CHAVEZ-CACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61 PASSAIC AVENUE, PASSAIC, NJ 07055
(973) 473-5053
(973) 574-9430
Mailing address
61 PASSAIC AVENUE, PASSAIC, NJ 07055
(973) 473-5053
(973) 574-9430

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
25MA058212
NJ
207VX0000X
Obstetrics Physician
Primary
25MA058212
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5337101
NJ
Enumeration date
09/21/2006
Last updated
10/27/2008
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