Individual
DR. MARTIN P CHATELAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-3664
(501) 996-0536
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 371-5765
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06249800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7782004
—
NJ
01
—
P00795664
RR MEDICARE
NJ
Enumeration date
05/27/2006
Last updated
03/29/2010
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