Individual
GRAZIELLA PORTALATIN-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
270 HIGHWAY 35, RED BANK, NJ 07701-5920
(732) 842-2000
(732) 224-0688
Mailing address
3 PINE TREE TER, HOLMDEL, NJ 07733-2786
(787) 645-4679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10164800
NJ
Other
Enumeration date
09/08/2008
Last updated
07/20/2024
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