Individual
MR. MARK D CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 BAY AVE STE 203, GLEN RIDGE, NJ 07028-1607
(973) 746-2200
Mailing address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA52391
NJ
Other
Enumeration date
11/20/2006
Last updated
04/21/2021
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